STEPHANIE M. CLARK (NPI# 1982611463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982611463 |
| Entity Type | Individual |
| Full Name | STEPHANIE M. CLARK |
| Credential | LAC |
| Practice Address |
202 E Robert St Hammond LA 70401-3350 |
| Practice Telephone | 9855434070 |
| Practice Fax Number | 9855434073 |
| Mailing Telephone | 9855434070 |
| Mailing Fax Number | 9855434073 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
797 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612605 | Stephanie Clark | Massage Therapist | 15227 Spring Cor, San Antonio, TX 78247-1693 | 2020-09-01 |
| 1811516156 | Stephanie Clark | Social Worker | 10185 Isle St, Parker, CO 80134-5788 | 2020-04-15 |
| 1306486444 | Stephanie Clark | Licensed Practical Nurse | 636 Clay Ave Uppr, Rochester, NY 14613-1030 | 2020-01-07 |
| 1841681046 | Stephanie Clark | Technician, Other | 2917 S Ash Ct, Broken Arrow, OK 74012-7804 | 2015-02-09 |
| 1760816326 | Stephanie Diane Clark | Case Manager/Care Coordinator | 4613 Se 41st St, Del City, OK 73115-3703 | 2013-08-30 |
| 1538447560 | Stephanie Renae Clark | Physical Therapist | 927 Battlefield Blvd N, Suite 200, Chesapeake, VA 23320-4853 | 2011-07-25 |
| 1932330545 | Stephanie D Clark | Social Worker | 16581 Us Highway 17 N Ste 600, Hampstead, NC 28443-7451 | 2009-07-30 |
| 1487719787 | Stephanie Clark | Licensed Practical Nurse | 55 Ramble Hill Lane, Millbrook, NY 12545 | 2006-12-27 |
| 1811057425 | Stephanie Clark | Dentist | 7601 A Germantown Ave, Philadelphia, PA 19119 | 2006-12-12 |
| 1700864733 | Stephanie Elaine Clark | Audiologist | 13934 N 59th Ave, Ste 120, Glendale, AZ 85306-4167 | 2006-01-09 |
| Street Address |
202 E ROBERT ST |
| City | HAMMOND |
| State | LA |
| Zip Code | 70401-3350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699726299 | Department of Health & Hospitals | Counselor | 202 E Robert St, Hammond, LA 70401-3350 | 2006-05-16 |
| 1720224470 | Maurine T Ladner | Psychologist | 202 E Robert St, Hammond, LA 70401-3350 | 2008-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855659 | Tabita Hooper | Dentist | 2807 W Thomas, Hammond, LA 70401 | 2020-06-11 |
| 1689200826 | Thomas Michael Nedow | Specialist/Technologist | 500 W University Avenue, Hammond, LA 70401 | 2020-03-19 |
| 1861025041 | Jonte Bernard | Specialist/Technologist | 1150 N General Pershing, Hammond, LA 70401 | 2020-02-17 |
| 1275196156 | Monica Rome Thompson | Case Manager/Care Coordinator | 1312 N Morrison Blvd, Hammond, LA 70401 | 2019-04-17 |
| 1740752864 | Katelyn D Ennis | Case Manager/Care Coordinator | 1312 N. Morrison Blvd., Hammond, LA 70401 | 2018-12-31 |
| 1396215257 | Breyanna Johnson | Case Manager/Care Coordinator | 1312 North Morrison Blvd, Hammond, LA 70401 | 2018-12-04 |
| 1134695331 | Shanquel Antonet Mckay | Case Manager/Care Coordinator | 1312 N. Morrison Blvd, Hammond, LA 70401 | 2018-10-16 |
| 1598243412 | Brooke Lynn Boggs | Preventive Medicine | 800 North Hazel St., Hammond, LA 70401 | 2018-08-02 |
| 1811499197 | Ashley Daytora Cohn | Counselor | 15043 Woodstone Dr Apt 226, Hammond, LA 70401 | 2018-03-02 |
| 1790207645 | Angela D Dillon | Counselor | 12261 Patrina Ln, Hammond, LA 70401 | 2017-07-12 |
| Find all providers in zip 70401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205315785 | Thomas Carpenter | Counselor | 902 C M Fagan Dr Ste C, Hammond, LA 70403-6043 | 2018-08-07 |
| 1689988792 | Veroinca Ramos-clark | Counselor | 7108 Calumet Ave, Hammond, IN 46324-2406 | 2010-07-30 |
| 1548586944 | Marketa Alonda Paul | Counselor | 403 Market St, Hammond, LA 70401-2821 | 2010-04-12 |
| 1518010529 | Jennifer Kenney Hollander | Counselor | 216 W Thomas St, Suite 4, Hammond, LA 70401-3263 | 2007-01-21 |
| 1699726299 | Department of Health & Hospitals | Counselor | 202 E Robert St, Hammond, LA 70401-3350 | 2006-05-16 |
| 1942813274 | Heather Gernold | Counselor | 835 Pride Dr Ste B, Hammond, LA 70401-9527 | 2020-08-26 |
| 1457970204 | Amanda Evangeline Cleland | Counselor | 615 Pride Dr, Hammond, LA 70401-9523 | 2020-04-13 |
| 1538788518 | Tronia White | Counselor | 615 Pride Dr, Hammond, LA 70401-9523 | 2020-04-10 |
| 1770102741 | Ginger Myree Castell | Counselor | 615 Pride Dr, Hammond, LA 70401-9523 | 2020-04-10 |
| 1104455708 | Sara Elizabeth Dupree-wolf | Counselor | 615 Pride Dr, Hammond, LA 70401-9523 | 2020-04-06 |
| Find all providers in HAMMOND | ||||
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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.