CONSTANCE MICHELLE CLARK (NPI# 1912403619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912403619 |
| Entity Type | Individual |
| Full Name | CONSTANCE MICHELLE CLARK |
| Practice Address |
4951 Central Ave Monroe LA 71203 |
| Mailing Address |
850 Kaliste Saloom Rd Ste 117 Lafayette LA 70508-4230 |
| Practice Telephone | 3183401535 |
| Practice Fax Number | 3183401539 |
| Mailing Telephone | 3372347109 |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LA | Behavioral Health & Social Service Providers | |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497116644 | Constance Clark | Registered Nurse | 2792 S 2nd St, Suite B, Cabot, AR 72023-7020 | 2016-03-16 |
| 1205140647 | Constance M Clark | Speech-Language Pathologist | 3840 Hulen St Htn, Client Accounting, Fort Worth, TX 76107-7277 | 2010-07-27 |
| Street Address |
4951 CENTRAL AVE |
| City | MONROE |
| State | LA |
| Zip Code | 71203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689984866 | Kymberly Yvette Bradford | Counselor | 4951 Central Ave, Monroe, LA 71203-6156 | 2010-10-20 |
| 1346856309 | Victoria Renea Bradshaw | Case Manager/Care Coordinator | 4951 Central Ave, Monroe, LA 71203-6156 | 2020-09-16 |
| 1215562954 | Angelle Verne' Antwine | Case Manager/Care Coordinator | 4951 Central Ave, Monroe, LA 71203-6156 | 2020-03-03 |
| 1316500747 | Brittany Galloway | Case Manager/Care Coordinator | 4951 Central Ave, Monroe, LA 71203-6156 | 2019-04-22 |
| 1295207819 | Latoya Jackson | Marriage & Family Therapist | 4951 Central Ave, Monroe, LA 71203-6156 | 2018-12-20 |
| 1245702166 | Bryana Buie | Counselor | 4951 Central Ave, Monroe, LA 71203-6156 | 2018-12-18 |
| 1740786037 | Talia Millage | Counselor | 4951 Central Ave, Monroe, LA 71203 | 2018-04-04 |
| 1609375278 | Dawanna Kaye Dean | Counselor | 4951 Central Ave, Monroe, LA 71203-6156 | 2018-02-08 |
| 1609384809 | Sierra C Evans | Counselor | 4951 Central Ave, Monroe, LA 71203-6156 | 2018-01-22 |
| 1396250536 | Patrice Lashay Leonard | Counselor | 4951 Central Ave, Monroe, LA 71203 | 2017-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
| 1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
| 1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
| 1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
| 1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
| 1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
| Find all providers in zip 71203 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856960 | Ebony Hall | Case Manager/Care Coordinator | 2911 Cameron St # A, Monroe, LA 71201-3713 | 2020-09-18 |
| 1285251785 | Good News Counseling | Case Manager/Care Coordinator | 3217 Concordia Ave, Monroe, LA 71201-5131 | 2020-06-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1164060331 | Myrtle Burks | Case Manager/Care Coordinator | 820 Jackson St, Monroe, LA 71201-8422 | 2019-12-18 |
| 1114583069 | Brandon Rashaard Collins | Case Manager/Care Coordinator | 5504 Robinson Drive, Monroe, LA 71202 | 2019-05-16 |
| 1851956007 | Dorothy Marie Page | Case Manager/Care Coordinator | 811 Maplewood Dr, Monroe, LA 71202-2362 | 2019-05-03 |
| 1235792029 | Jasmine Powell | Case Manager/Care Coordinator | 2808 Evangeline St, Monroe, LA 71201-3750 | 2019-04-17 |
| 1922560150 | Isabelle Rocher | Case Manager/Care Coordinator | 3000 Evangeline St Apt 191, Monroe, LA 71201-3831 | 2019-04-05 |
| 1912463274 | Brittany Johnson | Case Manager/Care Coordinator | 141 Desiard St Apt 303, Monroe, LA 71201-7340 | 2019-02-12 |
| 1043774862 | Krystal J. Williams | Case Manager/Care Coordinator | 3000 Kilpatrick Blvd, Monroe, LA 71201-5166 | 2019-01-25 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.