JENNIFER ANN CLARK


Address: 1814 Clairmont Rd, Decatur, GA 30033-3405
Phone: 4046361457

JENNIFER ANN CLARK (NPI# 1023675295) 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) 1023675295
Entity Type Individual
Full Name JENNIFER ANN CLARK
Practice Address 1814 Clairmont Rd
Decatur
GA 30033-3405
Practice Telephone 4046361457
Practice Fax Number 4046367449
Mailing Telephone 4046361457
Mailing Fax Number 4046367449
Enumeration Date 2019-05-23
Last Update Date 2019-05-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker MSW008887 GA Behavioral Health & Social Service Providers

Other Providers JENNIFER CLARK

NPI Name Taxonomy Address Enumeration
1932723038 Jennifer Michelle Clark Social Worker 22 Norva Ave, Frederick, MD 21701-6279 2020-06-04
1982249926 Jennifer Rae Clark Nurse Practitioner 2800 E League City Pkwy Apt 216, League City, TX 77573-1676 2019-11-13
1528546827 Jennifer Clark Technician 59 Forrester St Sw Apt B, Washington, DC 20032-2120 2018-07-30
1265940340 Jennifer Anne Clark Counselor 35 Pulaski Rd, Whitehouse Station, NJ 08889-3516 2018-01-11
1598118572 Jennifer Clark Internal Medicine 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 2016-07-14
1295124899 Jennifer Clark Behavioral Analyst 662 Lake George Dr, Melbourne, FL 32940-2221 2015-01-20
1851707194 Jennifer Sara Clark Physical Therapist 797 Evergreen Dr, West Hempstead, NY 11552-3406 2014-07-08
1083988794 Jennifer Makiki Clark Health Educator 5858 Wilshire Blvd Ste 300, Los Angeles, CA 90036-4509 2012-02-27
1639484520 Jennifer Ann Clark Speech-Language Pathologist 5903 Neptune Dr, Fort Collins, CO 80525-3905 2010-08-16
1245567247 Jennifer Selleck Clark Nurse Practitioner 1840 Martin Luther King Jr Blvd Ste C4, Chapel Hill, NC 27514 2009-11-11

Office Location

Street Address 1814 CLAIRMONT RD
City DECATUR
State GA
Zip Code 30033-3405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427047125 Carol B Pitts Counselor 1814 Clairmont Rd, Decatur, GA 30033-3405 2005-10-17
1114565892 Stephanie Yates-anyabwile Marriage & Family Therapist 1814 Clairmont Rd, Decatur, GA 30033-3405 2019-12-13
1649818410 Peyton Waggener Counselor 1814 Clairmont Rd, Decatur, GA 30033-3405 2019-12-12
1780226019 Annmarie Lehrer Counselor 1814 Clairmont Rd, Decatur, GA 30033-3405 2019-10-08
1013567486 Jacob Dreiling Counselor 1814 Clairmont Rd, Decatur, GA 30033-3405 2019-09-17
1437707379 Katharine Smith Counselor 1814 Clairmont Rd, Decatur, GA 30033-3405 2019-09-03
1245887462 Jennifer Marie Moore Counselor 1814 Clairmont Rd, Decatur, GA 30033-3405 2019-08-22
1801357223 Janay Whittaker Counselor 1814 Clairmont Rd, Decatur, GA 30033-3405 2019-03-28
1467929992 Erin Renner Counselor 1814 Clairmont Rd, Decatur, GA 30033-3405 2018-11-02
1841777224 Rebecca Short Marriage & Family Therapist 1814 Clairmont Rd, Decatur, GA 30033-3405 2018-07-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922613785 Healing Minds, Helping Hearts, LLC Social Worker 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 2020-09-09
1700412517 Delana Finney Orthotist Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 2020-03-13
1194389353 Katherine Serafen Physician Assistant 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 2019-04-23
1194290973 Suzanne Johnson Psychologist Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 2018-10-09
1245705334 Mcleod Counseling Services, LLC Clinic/Center 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 2018-10-04
1225514797 Erkin Mirkhatovich Turganov Pharmacist 2951 Cedar Brook Dr, Decatur, GA 30033 2018-07-17
1356834972 Sharlencia Lord Nurse Practitioner 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 2018-06-08
1194213140 Zacarias Yanis Jr. Clinical Neuropsychologist 1276 Mcconnell Drive Ste C., Decatur, GA 30033 2018-04-25
1780181370 Ryan Patton Orthopaedic Surgery 2723 Hollywood Dr, Decatur, GA 30033 2018-04-10
1437669751 Sholanda D Hooper Nurse Practitioner 1601 Clairmont Rd, Decatur, GA 30033 2017-10-02
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386276467 Aweh Support Social Worker 3498 Brycewood Dr, Decatur, GA 30034-6264 2020-02-06
1992342638 Kuyom R Davenport Social Worker 2459 Candler Rd, Decatur, GA 30032-6400 2019-12-02
1093284291 Eliza Segell Social Worker 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 2018-11-16
1801393103 Albert Leon Phillips Jr. Social Worker 2741 Glenvalley Dr, Decatur, GA 30032-4207 2018-04-12
1578091013 Giovanna Farnum Social Worker 440 Winn Way Fl 3, Decatur, GA 30030-1715 2017-05-29
1124562475 Catherine Berry Moon Social Worker 317 W Hill St Ste 203b, Decatur, GA 30030 2016-12-06
1871047720 Breanna Kelly Social Worker 4026 Birchwood Cv, Decatur, GA 30034-5251 2016-08-09
1053791335 Sherri Cohen Social Worker 255 Grant St Se, Ste 303, Decatur, AL 35601-2505 2015-06-02
1669875423 Tigilayo Fadahunsi Social Worker 10301 Jefferson Square Ct, Decatur, GA 30030-1740 2014-10-07
1255733028 Cherissa Mcconnell Social Worker 407 Park West Ct, Decatur, TX 76234-3264 2014-09-23
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Competitor

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City DECATUR
Zip Code 30033

Improve Information

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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.

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