KELLY ANNE CLARKE (NPI# 1043835457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043835457 |
| Entity Type | Individual |
| Full Name | KELLY ANNE CLARKE |
| Credential | MSW |
| Practice Address |
American Treatment Network Physician & Associates 1120 Township Line Road Havertown PA 19083 |
| Mailing Address |
118 Montrose Ave Apt C Bryn Mawr PA 19010-1574 |
| Practice Telephone | 4845351231 |
| Mailing Telephone | 2153881399 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| 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) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1275189375 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285739409 | Kelly Michael Clarke | Dentist | 2700 Grand Ave, Suite B, Billings, MT 59102-2680 | 2006-09-13 |
| 1043837313 | Kelly Ann Clarke | Social Worker | 75 West St, Danbury, CT 06810-6528 | 2020-07-02 |
| 1891321287 | Kelly Clarke | Counselor | 4201 Medical Dr Ste 330, San Antonio, TX 78229-5805 | 2020-03-17 |
| 1821657693 | Kelly Clarke | Physical Therapist | 310 N Loomis St, Chicago, IL 60607-1147 | 2019-06-06 |
| 1437132305 | Kelly R Clarke | Dentist | 2204 E 29th Ave, Ste. 208, Spokane, WA 99203-3961 | 2005-11-23 |
| Street Address |
AMERICAN TREATMENT NETWORK PHYSICIAN & ASSOCIATES 1120 TOWNSHIP LINE ROAD |
| City | HAVERTOWN |
| State | PA |
| Zip Code | 19083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588216238 | Angela Wrolstad | Registered Nurse | 614 Darby Road, Havertown, PA 19083 | 2019-07-12 |
| 1639696214 | Osaru Anyumba | Case Manager/Care Coordinator | 311 Lansdowne Road, Havertown, PA 19083 | 2017-08-24 |
| 1346762739 | Luke Francis Mattson | Pharmacist | 60 West Hillcrest Avenue, Havertown, PA 19083 | 2017-07-07 |
| 1124558150 | Clare M Chakey | Counselor | 1631 Ridgeway Road, Haventown, PA 19083 | 2017-06-13 |
| 1205382553 | Silverware Home Care Service LLC | Residential Treatment Facility, Physical Disabilities | 2010 Wester Chester Pike, Suite 448, Havertown, PA 19083 | 2016-08-28 |
| 1275903486 | Megan Keeley Ramaika | Dietitian, Registered | 404 Fairmont Road, Havertown, PA 19083 | 2015-09-30 |
| 1972987246 | Katie Paugh | Occupational Therapist | One North Belfield Avenue, Havertown, PA 19083 | 2015-07-16 |
| 1497140180 | Total Health Home Care Corporation | Nurse's Aide | 2710 West Township Line Rd, Havertown, PA 19083 | 2015-03-31 |
| 1851704084 | Ul Sik Jason Chong | Pharmacist | 700 East Townshipline Road Ste Ll, Havertown, PA 19083 | 2014-06-05 |
| 1508106618 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 116 Township Line Rd., Unit 204, Havertown, PA 19083 | 2013-02-26 |
| Find all providers in zip 19083 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386007839 | Bryce Kasuba | Counselor | 40 E Benedict Ave, Havertown, PA 19083-2402 | 2016-04-01 |
| 1053715458 | Stephanie Bergey | Counselor | 2010 W Chester Pike, Ste 314, Havertown, PA 19083-2700 | 2014-10-14 |
| 1265862577 | Joseph U Depiano | Counselor | 525 W Chester Pike, Suite 205, Havertown, PA 19083-4500 | 2013-11-22 |
| 1649572264 | Michael Fanjoy | Counselor | 525 W Chester Pike, Falcon Center Suite 205, Havertown, PA 19083-4500 | 2010-12-02 |
| 1619025137 | Linda A Curran | Counselor | 700 E Township Line Rd, Suite 101, Havertown, PA 19083-5733 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896851 | Laurelcare South/west LLC | Counselor | 1200 Brooks Ln Ste 210, Jefferson Hills, PA 15025-3761 | 2020-09-23 |
| 1750993325 | Dennis Lee Haynes Jr. | Counselor | 3501 Forbes Ave Fl 9, Pittsburgh, PA 15213-3317 | 2020-08-17 |
| 1992314850 | Finding Her Way, LLC | Counselor | 501 Valley Brook Rd Ste 204b, Mc Murray, PA 15317-3428 | 2020-07-27 |
| 1922626035 | Jane-marie Kennedy | Counselor | 2970 Corporate Ct Ste 1, Orefield, PA 18069-3158 | 2020-07-07 |
| 1871110270 | Randy Paul Macsisak | Counselor | 451 Chew St Ste 106, Allentown, PA 18102-3412 | 2020-07-01 |
| 1215554233 | Scott T Reiman | Counselor | 1224 Whitehall Ave, Easton, PA 18045-5621 | 2020-06-26 |
| 1386269231 | Rasheeda Jackson | Counselor | 117 Rosemar St, Philadelphia, PA 19120-1922 | 2020-06-16 |
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1902420425 | Harry Shane Falwell | Counselor | 2203 W Liberty St, Allentown, PA 18104-4323 | 2020-06-01 |
| 1184256224 | Ana Maria Bueno Marquez | Counselor | 40 Dilworth Road, Millersville, PA 17551 | 2020-02-06 |
| Find all providers with the same taxonomy | ||||
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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.