Marla Jo Clark (NPI# 1508881863, PAC ID# 0042223380) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1508881863 |
| PAC ID by PECOS | 0042223380 |
| Professional Enrollment ID | I20060803000170 |
| Full Name | Marla Jo Clark |
| Organization Legal Name | SHORE COUNSELING AND CONSULTING CLINIC SC |
| Address |
2600 N Mayfair Rd Suite 650 Wauwatosa WI 53226-1321 |
| Phone Number | 4147719304 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 3072580547 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2600 N Mayfair Rd, Suite 650, Wauwatosa, WI 53226-1321 | 4147719304 | SHORE COUNSELING AND CONSULTING CLINIC SC |
| Organization Legal Name | SHORE COUNSELING AND CONSULTING CLINIC SC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia L Dotson | Psychologist, Clinical | Shore Counseling and Consulting Clinic Sc | 2600 N Mayfair Rd, Suite 650, Wauwatosa, WI 53226-1321 |
| Jodee J Kuhl | Clinical Social Worker | Shore Counseling and Consulting Clinic Sc | 2600 N Mayfair Rd, Suite 650, Wauwatosa, WI 53226-1321 |
| Pamela Prestby | Psychologist, Clinical | Shore Counseling and Consulting Clinic Sc | 2600 N Mayfair Rd, Suite 650, Wauwatosa, WI 53226-1321 |
| Diane M Odonnell | Nurse Practitioner | Shore Counseling and Consulting Clinic Sc | 2600 N Mayfair Rd, Suite 650, Wauwatosa, WI 53226-1321 |
| John E Prestby | Clinical Psychologist | Shore Counseling and Consulting Clinic Sc | 2600 N Mayfair Rd, Wauwatosa, WI 53226-1321 |
| Stacy G Dunning | Clinical Social Worker | Shore Counseling and Consulting Clinic Sc | 2600 N Mayfair Rd, Suite 650, Wauwatosa, WI 53226-1321 |
| Dana Vaughan | Clinical Social Worker | Shore Counseling and Consulting Clinic Sc | 2600 N Mayfair Rd, Wauwatosa, WI 53226-1321 |
| Street Address |
2600 N MAYFAIR RD SUITE 650 |
| City | WAUWATOSA |
| State | WI |
| Zip | 53226-1321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arman Cicic | Urology | Metropolitan Urology Group, Sc | 2600 N Mayfair Rd, Suite 545, Wauwatosa, WI 53226-1374 |
| Kristi L Reynolds | Clinical Social Worker | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Virginia L Dotson | Psychologist, Clinical | Shore Counseling and Consulting Clinic Sc | 2600 N Mayfair Rd, Suite 650, Wauwatosa, WI 53226-1321 |
| W Patrick Flanagan Jr. | Urology | Metropolitan Urology Group, Sc | 2600 N Mayfair Rd, Suite 545, Wauwatosa, WI 53226-1374 |
| Jodee J Kuhl | Clinical Social Worker | Shore Counseling and Consulting Clinic Sc | 2600 N Mayfair Rd, Suite 650, Wauwatosa, WI 53226-1321 |
| Nicole E Heinrich | Clinical Social Worker | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Ilya Melina Ray | Nurse Practitioner | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Neal H Pollack | Neurology | 2600 N Mayfair Rd, Suite 1120, Wauwatosa, WI 53226-1308 | |
| Candadai M Sundaram | Gastroenterology | 2600 N Mayfair Rd, Suite 670, Wauwatosa, WI 53226-1323 | |
| Kathleen Garvey | Dermatology | Forefront Dermatology Sc | 2600 N Mayfair Rd, Suite 810, Milwaukee, WI 53226-1328 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernadette A Demuri | Psychiatry | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Mariellen Fischer | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Sarah J Ford | Clinical Social Worker | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Jennifer K Cicero | Clinical Social Worker | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Barbara J Reinke | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Mark O Pease | Nurse Practitioner | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Laura C Liguori | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Steven W Ortell | Psychiatry | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Sarah E Jankowski | Clinical Social Worker | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Theresa Koch | Clinical Social Worker | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Find all physicians in zip 53226 | |||
| City | WAUWATOSA |
| Zip Code | 53226 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | WAUWATOSA + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Marla Jo Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.