KELLI CLARK


Address: 7200 Bancroft Ave, Oakland, CA 94605-2403
Phone: 5105538500

KELLI CLARK (NPI# 1922536374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922536374
Entity Type Individual
Full Name KELLI CLARK
Practice Address 7200 Bancroft Ave
Oakland
CA 94605-2403
Practice Telephone 5105538500
Mailing Telephone 5105538500
Enumeration Date 2017-05-30
Last Update Date 2017-05-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Other Providers KELLI CLARK

NPI Name Taxonomy Address Enumeration
1518460294 Kelli Clark Counselor 3100 Pioneer Ave, Pittsburgh, PA 15226-1741 2018-03-09
1255955548 Kelli Elizabeth Clark Audiologist 1800 Dual Hwy Ste 303, Hagerstown, MD 21740-6648 2020-06-02
1023669363 Kelli Clark Behavior Technician 1250 S Aw Grimes Blvd, Round Rock, TX 78664-7429 2019-09-27
1659925436 Kelli Clark Counselor 1555 Parkmoor Ave, San Jose, CA 95128-2407 2019-07-30
1558763839 Kelli Clark Occupational Therapist 401 Locust St, Suite 2a, Coraopolis, PA 15108-3954 2014-09-18
1104196815 Kelli Marie Clark Social Worker 23 Maple St, Massena, NY 13662-1017 2012-01-11
1104145895 Kelli Nicole Clark Social Worker 619 N Main St, Muskogee, OK 74401-4431 2010-05-20

Office Location

Street Address 7200 BANCROFT AVE
City OAKLAND
State CA
Zip Code 94605-2403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801816244 Alexander Enacio Jackson Social Worker 7200 Bancroft Ave, Suite 125-d, Alameda County Bhcs, Oakland, CA 94605-2403 2006-07-20
1538777545 Cynthia Solorza Counselor 7200 Bancroft Ave, Oakland, CA 94605-2403 2020-07-15
1154963338 Grace Hong Counselor 7200 Bancroft Ave, Oakland, CA 94605-2403 2019-10-09
1114580636 Sarah G Chaaito Pharmacist 7200 Bancroft Ave, Oakland, CA 94605-2403 2019-04-19
1558848796 Kristina Marie Nestlerode Counselor 7200 Bancroft Ave, Oakland, CA 94605 2018-07-20
1558875864 Lizeth Corina Torres Chavez Specialist 7200 Bancroft Ave, Oakland, CA 94605-2403 2017-11-22
1932637915 Binh T Au Social Worker 7200 Bancroft Ave, Oakland, CA 94605-2403 2017-06-02
1558808741 Karina Gabriela Paredes Specialist 7200 Bancroft Ave, Ste 267, Oakland, CA 94605-2403 2017-01-25
1306383088 Kally Price Registered Nurse 7200 Bancroft Ave, # 204, Oakland, CA 94605-2403 2017-01-19
1467998062 Kuang Zong Dietitian, Registered 7200 Bancroft Ave, Oakland, CA 94605-2403 2017-01-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275181190 Sarah Primack Counselor Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 2019-09-04
1285296475 Veronica Aguila Behavior Technician 2949 Parker Ave, Oakland, CA 94605 2019-07-08
1508321886 Terra Brown Brown Counselor One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 2019-01-31
1619447455 Elizabeth Niarhos Counselor 10850 Macarthur Blvd., Oakland, CA 94605 2018-12-04
1467930966 Claudia Sanchez Student in an Organized Health Care Education/Training Program 7200 Bancroft Avenue, Suite 125d, Oakland, CA 94605 2018-08-06
1447768866 The Alliance for Community Wellness Community/Behavioral Health 2369 84th Ave., Oakland, CA 94605 2018-01-19
1497204010 Nekeisha Maxie Specialist 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 2016-09-23
1073997110 Sandra Lenoski Social Worker 7200 Bancroft Avenue, Building B, Suite 133, Oakland, CA 94605 2015-07-18
1366831414 Wing Kit Leung Physical Therapy Assistant 2445 64th Ave, Oakland, CA 94605 2015-01-13
1558647735 Jessica Welsh Counselor 8759 Mountain Blvd. Bldg. 69, Oakland, CA 94605 2011-11-01
Find all providers in zip 94605

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265030803 Alana Lyn Kapust Social Worker 590 El Dorado Ave Unit 210, Oakland, CA 94611-5071 2020-10-15
1497377527 Yurianna Hyechong Na Social Worker 1401 Jackson St Apt 501, Oakland, CA 94612-4086 2020-05-12
1861026080 Urban Catalyst Psychotherapy, A Licensed Clinical Social Worker Corpor Social Worker 2700 International Blvd Ste 21, Oakland, CA 94601-1508 2020-02-26
1336789643 Zosime Calame Social Worker 445 Bellevue Ave Ste 300, Oakland, CA 94610-4923 2020-01-14
1316581796 Joaquin Turner Social Worker 2232 Ivy Dr Apt 27, Oakland, CA 94606-1942 2019-10-29
1699324152 Brian Phanichkarn Social Worker 675 Hegenberger Rd Ste 214, Oakland, CA 94621-1989 2019-09-08
1306495007 Winnie Zhi Liao Social Worker 400 Roland Way, Oakland, CA 94621-2012 2019-09-05
1225686314 Victoria Anderson Social Worker 1038 57th St, Oakland, CA 94608-2706 2019-08-31
1881242279 Lauren Martin Social Worker 5231 Market St, Oakland, CA 94608-3254 2019-08-28
1639723703 Joanna La Torre Social Worker 4255 Howe St, Oakland, CA 94611-4704 2019-07-27
Find all providers in OAKLAND

Competitor

Search similar providers

City OAKLAND
Zip Code 94605

Improve Information

Please comment or provide details below to improve the information on KELLI CLARK.

Dataset Information

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.

Trending Searches