MISS TAYLER SIMONE CLARK (NPI# 1982132817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982132817 |
| Entity Type | Individual |
| Full Name | MISS TAYLER SIMONE CLARK |
| Credential | LCSW |
| Practice Address |
N19w24400 Riverwood Dr Ste 350 Waukesha WI 53188-1182 |
| Practice Telephone | 4147743278 |
| Practice Fax Number | 4143101760 |
| Mailing Telephone | 4147743278 |
| Mailing Fax Number | 4143101760 |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
9047-123 | WI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2222 N Mayfair Rd Ste 120, Wauwatosa, WI 532262262 | 4149399390 | |
| 2867 S Kinnickinnic Ave Apt 318, Milwaukee, WI 532072269 | 6082139869 | |
| 4536 22nd Ave, Kenosha, WI 53140 | 2626560044 |
| Street Address |
N19W24400 RIVERWOOD DR STE 350 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-1182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497003735 | Maria N Ramirez | Counselor | N19w24400 Riverwood Dr Ste 350, Waukesha, WI 53188-1182 | 2012-08-16 |
| 1992312946 | Independence Plus- Wi, LLC | Home Health | N19w24400 Riverwood Dr Ste 350, Waukesha, WI 53188-1182 | 2020-09-24 |
| 1144861188 | Julie Anne Laubenstein | Marriage & Family Therapist | N19w24400 Riverwood Dr Ste 350, Waukesha, WI 53188-1182 | 2019-10-01 |
| 1750818746 | Diego Marin | Psychiatry & Neurology | N19w24400 Riverwood Dr Ste 350, Waukesha, WI 53188 | 2017-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831670 | Sarah Penke | Social Worker | 1895 Haymarket Rd Apt 90, Waukesha, WI 53189-8507 | 2020-05-05 |
| 1902444029 | Ashley Westphal | Social Worker | 422 Hillview Cir, Waukesha, WI 53188-3228 | 2019-12-19 |
| 1093281370 | Tory Phonsavan Koetterhagen | Social Worker | W236s4564 Whispering Hills Ct, Waukesha, WI 53189-9772 | 2018-10-15 |
| 1861876138 | Nathan Amos | Social Worker | 1515 Paramount Dr, Waukesha, WI 53186-3959 | 2015-07-16 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1871998070 | Candace Lynn Williams | Social Worker | 2046 Cliff Alex Ct S Apt 3, Waukesha, WI 53189-8100 | 2014-10-30 |
| 1104975341 | Douglas Meske | Social Worker | 2607 N Grandview Blvd Ste 110, Waukesha, WI 53188 | 2007-01-09 |
| 1023170099 | Jerome Michael Loberg | Social Worker | 1501 Airport Rd., Waukesha, WI 53188 | 2006-12-15 |
| 1952416034 | Jennifer Foro | Social Worker | W231 N1440 Corporate Ct, #310, Waukesha, WI 53186 | 2006-08-20 |
| 1629099700 | Dennis Rody | Social Worker | 400 W Moreland Blvd, Waukesha, WI 53188-2412 | 2006-07-22 |
| Find all providers in WAUKESHA | ||||
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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.