ROBERTA CLARK (NPI# 1144746702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144746702 |
| Entity Type | Individual |
| Full Name | ROBERTA CLARK |
| Credential | LCSW |
| Practice Address |
1100 N Pine St Clearwater FL 33756-4104 |
| Mailing Address |
1440 Duncan Loop S # 4-101 Dunedin FL 34698-1307 |
| Practice Telephone | 7274427106 |
| Mailing Telephone | 7274807889 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW5727 | FL | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SW5727 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801285580 | Roberta Clark | Dental Hygienist | 8403 Christopher Ridge Ter, San Diego, CA 92127-6143 | 2015-01-17 |
| 1720240831 | Roberta Clark | Physical Therapy Assistant | 233 Florida Ave, Carolina Beach, NC 28428-5804 | 2008-06-30 |
| 1609017987 | Roberta Catherine Clark | Social Worker | 1270 Doris Rd, Auburn Hills, MI 48326-2617 | 2009-03-16 |
| 1184827891 | Roberta Anne Clark | Nurse Practitioner | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2007-06-08 |
| Street Address |
1100 N PINE ST |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932191566 | Delta Health Group Inc | Skilled Nursing Facility | 1100 N Pine St, Clearwater, FL 33756-4104 | 2005-08-19 |
| 1932716321 | Mallory Hansen | Physical Therapist | 1100 N Pine St, Clearwater, FL 33756-4104 | 2020-09-29 |
| 1558973859 | Glen Oaks Operations LLC | Skilled Nursing Facility | 1100 N Pine St, Clearwater, FL 33756-4104 | 2020-08-18 |
| 1942469788 | Sf Glen Oaks LLC | Skilled Nursing Facility | 1100 N Pine St, Clearwater, FL 33756-4104 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772656 | Lauren Rachelle Harmon | Social Worker | 1220 Palmetto St, Clearwater, FL 33755-4333 | 2020-02-14 |
| 1437793585 | Paige E Harlan | Social Worker | 626 Lakeview Rd Ste B, Clearwater, FL 33756-3359 | 2019-11-01 |
| 1346883121 | Veronica Montgomery-roper | Social Worker | 2707 E Grand Reserve Cir Apt 1421, Clearwater, FL 33759-4908 | 2019-10-23 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1215419791 | Linda Susanne Blake | Social Worker | 19029 Us Highway 19 North, Villa 22d, Clearwater, FL 33764 | 2018-08-31 |
| 1154808863 | Gail Denise Day | Social Worker | 1967 Cormorant Ct Apt 526, Clearwater, FL 33762-5566 | 2018-07-25 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1033634761 | Chivon Tanara Cowart | Social Worker | 2936 Drew St Apt 1314, Clearwater, FL 33759-3056 | 2017-08-03 |
| 1184157687 | Lori Ellis | Social Worker | 2861 Executive Dr, Clearwater, FL 33762-2264 | 2017-04-11 |
| 1275906679 | Anna Capote | Social Worker | 2745 State Road 580 Ste 101, Clearwater, FL 33761-3359 | 2015-11-06 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
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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.