RENEE CLARK (NPI# 1194359349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194359349 |
| Entity Type | Individual |
| Full Name | RENEE CLARK |
| Practice Address |
6440 Dobbin Rd Columbia MD 21045-4770 |
| Mailing Address |
8167a Edge Rock Way Laurel MD 20724-6093 |
| Practice Telephone | 4107302385 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790051381 | Renee Clark | Counselor | 557 Kennebec Rd, Hampden, ME 04444-3019 | 2012-03-28 |
| 1184156143 | Renee Clark | Social Worker | 2795 Main St W Ste 20b, Snellville, GA 30078-3073 | 2017-03-29 |
| 1043756729 | Renee Clark | Registered Nurse | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-01-18 |
| 1003211251 | Renee Lynn Clark | Advanced Practice Midwife | 2800 Folsom St, Boulder, CO 80304-2183 | 2014-10-30 |
| 1548517667 | Renee Michelle Clark | Optometrist | 2609 W Trenton Rd, Edinburg, TX 78539-3432 | 2012-08-08 |
| 1376788455 | Renee L Clark | Counselor | 45310 Pacifica Dr, Caspar, CA 95420-0185 | 2008-12-03 |
| 1306001540 | Renee Clark | Counselor | 500 Limit St, Leavenworth, KS 66048-4435 | 2008-07-28 |
| 1619079126 | Renee Spangler Clark | Registered Nurse | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2006-09-04 |
| Street Address |
6440 DOBBIN RD |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-4770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437796778 | Nicole Filipe | Marriage & Family Therapist | 6216 Three Apple Downs, Columbia, MD 21045-7419 | 2019-12-05 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1629551635 | Charles Mcgeiver | Marriage & Family Therapist | 9650 Santiago Rd Ste 101, Columbia, MD 21045-3958 | 2018-09-14 |
| 1225543325 | Taylor Norene Baker | Marriage & Family Therapist | 8894 Stanford Blvd Ste 103, Columbia, MD 21045-5161 | 2017-12-11 |
| 1609303650 | Angela Lynn Waldrop | Marriage & Family Therapist | 2917 Millwood Ave Bldg B, Columbia, SC 29205-1334 | 2017-05-20 |
| 1669869327 | Nicholas Wayne Bloodworth | Marriage & Family Therapist | 441 E 80 Dr, Columbia, KY 42728-8927 | 2015-04-21 |
| 1326430844 | Stacy Jagger | Marriage & Family Therapist | 807 Nashville Hwy, Suite 7, Columbia, TN 38401 | 2015-02-20 |
| 1659684330 | Lisa Marie Cooke-branham | Marriage & Family Therapist | 9 Clusters Ct Ste A, Columbia, SC 29210-4862 | 2010-07-22 |
| 1134362791 | Edward Rodney Linton | Marriage & Family Therapist | 902 South High Street, Columbia, TN 38401-3204 | 2009-04-13 |
| 1033369970 | Margaret Tenny | Marriage & Family Therapist | 10705 Charter Dr Ste 410, Columbia, MD 21044-2800 | 2008-09-29 |
| Find all providers in COLUMBIA | ||||
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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.