JOAN CLARK (NPI# 1073531166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073531166 |
| Entity Type | Individual |
| Full Name | JOAN CLARK |
| Credential | LPC |
| Practice Address |
949 Bridgeport Ave Milford CT 06460-3142 |
| Mailing Address |
22 Currier Way Cheshire CT 06410-1466 |
| Practice Telephone | 2038786365 |
| Mailing Telephone | 2032713427 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
000544 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MANAGED HEALTH NETWORK | 205652 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083186209 | Joan Leslie Clark | Speech-Language Pathologist | 3898 Via Poinciana Ste 17, Lake Worth, FL 33467-2951 | 2018-12-28 |
| 1174776694 | Joan Macfarlane Clark | Social Worker | 607 Oak Ridge Dr, Boerne, TX 78006-8229 | 2008-10-28 |
| 1952476038 | Joan H Clark | Registered Nurse | Pds 1725 W 17th St, Santa Ana, CA 92706 | 2006-11-22 |
| 1710969498 | Joan Marie Clark | Nurse Practitioner | 6400 Clayton Rd Ste 302, Saint Louis, MO 63117-1850 | 2005-11-17 |
| 1790786176 | Joan M Clark | Physical Therapist | 285 Jefferson Dr W, Palmyra, VA 22963-2404 | 2005-08-09 |
| 1801379532 | Joan Clark | Speech-Language Pathologist | 3427 Chapel Rd, Hamilton, OH 45013-9292 | 2018-09-10 |
| 1013221639 | Joan Carol Clark | Speech-Language Pathologist | 3207 Rosemont Dr, Chattanooga, TN 37411-4219 | 2010-08-06 |
| 1336468263 | Joan Gary Clark | Counselor | 100 Se Whitener Rd, Shelton, WA 98584-7747 | 2010-05-17 |
| 1801936919 | Joan Kay Clark | Specialist/Technologist | 1095 Pingree Rd, Suite 119, Crystal Lake, IL 60014-1725 | 2007-02-07 |
| 1548316748 | Joan Kutner Clark | Social Worker | 223 Maison Dr Unit 28, Suite A-1, Myrtle Beach, SC 29572-5170 | 2007-01-28 |
| Street Address |
949 BRIDGEPORT AVE |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851350300 | Bridges Healthcare Inc. | Clinic/Center | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2006-03-22 |
| 1467059600 | Elizabeth Lobotsky | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2020-10-01 |
| 1679106546 | Erica Vaz | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2020-02-19 |
| 1508417619 | Luis T Rivera | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2019-09-20 |
| 1245892306 | Morgan Starr Radin | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2019-06-28 |
| 1033776695 | Colleen H Conroy | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2019-05-20 |
| 1003370313 | Lamont Dixon | Counselor | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2019-01-31 |
| 1801362454 | Jessica Frankel | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2018-10-22 |
| 1083190151 | Nicole Weston | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2018-07-12 |
| 1871079954 | Jennifer Downing | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2018-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017129 | Willow Tree Counseling, LLC | Counselor | 10 Buist Rd Ste 304, Milford, PA 18337-9311 | 2020-09-14 |
| 1992326144 | Alexander Robert Brack | Counselor | 25 Housatonic Ave, Milford, CT 06460-3417 | 2020-04-29 |
| 1346885266 | The Vue X-change | Counselor | 560 S Dupont Blvd, Milford, DE 19963-1758 | 2019-11-14 |
| 1497219547 | Hopewell Therapy LLC. | Counselor | 57 Plains Rd Ste 2c1, Milford, CT 06461-2589 | 2019-01-23 |
| 1619441672 | Holly Vitko | Counselor | 56 Alden Pl, Milford, CT 06460-4510 | 2019-01-14 |
| 1285105601 | Macharia Psychotherapy Servicces, LLC | Counselor | 59 Kent St, Milford, CT 06461-2949 | 2018-12-11 |
| 1437625936 | Psychotherapy Practice of Victoria Hall, LLC | Counselor | 31 Cherry St Ste 101, Milford, CT 06460-3465 | 2018-10-23 |
| 1386127132 | Ashley Dascola, LLC | Counselor | 57 Plains Rd Ste 1a, Milford, CT 06461-2573 | 2018-09-07 |
| 1184102808 | Mark Francis Cesaroni | Counselor | 125 Welchs Point Rd, Milford, CT 06460-7301 | 2018-08-03 |
| 1316436207 | Melonie K Bland | Counselor | 25 Robert St, Milford, CT 06461-4052 | 2018-05-07 |
| Find all providers in MILFORD | ||||
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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.