FAWN M. CLARK (NPI# 1205159779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205159779 |
| Entity Type | Individual |
| Full Name | FAWN M. CLARK |
| Practice Address |
3 Kensington Square Suite B New Kensington PA 15068 |
| Practice Telephone | 7243359733 |
| Practice Fax Number | 7243359734 |
| Mailing Telephone | 7243359733 |
| Mailing Fax Number | 7243359734 |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
PA | Behavioral Health & Social Service Providers | |
| N | 106H00000X | Marriage & Family Therapist | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA | 2595457 | 01 |
| PA | UNISON | 184265 | 01 |
| PA | UPMC | 206234 | 01 |
| PA | AETNA | 7109257 | 01 |
| PA | COMMUNITY BEHAVIORAL HEALTH ORGANIZATION | 1000364 | 01 |
| PA | 1007624160014 | 05 | |
| PA | VALUE BEHAVIORAL HEALTH | 330989 | 01 |
| PA | HEALTH AMERICA | 424947 | 01 |
| Street Address |
3 KENSINGTON SQUARE SUITE B |
| City | NEW KENSINGTON |
| State | PA |
| Zip Code | 15068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023353737 | Kathryn Tanski | Counselor | 3 Kensington Square, Suite B, New Kensington, PA 15068 | 2012-12-06 |
| 1003137753 | Family Behavioral Resources | Community/Behavioral Health | 3 Kensington Square, Suite B, New Kensington, PA 15608-1911 | 2010-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457862948 | Rebecca Ashley Rogers | Occupational Therapy Assistant | 1207 Strawn Ave, New Kensington, PA 15068 | 2017-10-24 |
| 1619353372 | Monarch Behavioral Health Asssociates | Social Worker | 2644 Leechburg Road, 2nd Floor, Lower Burrell, PA 15068 | 2015-08-05 |
| 1376974568 | Ashley Renee Bennett | Occupational Therapist | 100 Little Road, Lower Burrell, PA 15068 | 2013-12-12 |
| 1710235551 | Community Health Clinic, Inc. | Dentist | 947 Fourth Avenue, New Kensington, PA 15068 | 2012-08-28 |
| 1588921027 | Patricia Lynn Foster | Physical Therapist | 3160 Kipp Ave, Lower Burrell, PA 15068 | 2012-04-23 |
| 1215202460 | Sandra Ilene O'mara-duffey | Occupational Therapy Assistant | 2709 Van Buren Dr, Lower Burrell, PA 15068 | 2012-03-20 |
| 1922307040 | Lisa Ann Matt | Dietitian, Registered | 200 Tarentum Bridge Road, New Kensington, PA 15068 | 2011-03-16 |
| 1124358965 | Olga Dubrovsky | Physical Medicine & Rehabilitation | 212 Lynn Ann Dr, New Kensington, PA 15068 | 2009-12-29 |
| 1841421385 | Robert Michael Yanchus | Orthopaedic Surgery | 1100 Woodberry Rd, 290, New Kensington, PA 15068 | 2009-07-31 |
| 1154563096 | Michael William Contes | Dentist | 1100 Woodmont Ave, New Kensington, PA 15068 | 2009-03-24 |
| Find all providers in zip 15068 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386122398 | Kristina Hruska | Counselor | 3 Kensington Sq # B, New Kensington, PA 15068-6443 | 2018-08-01 |
| 1295106979 | Brittany Biddle | Counselor | 2400 Leechburg Rd Ste 102, New Kensington, PA 15068-4676 | 2015-10-07 |
| 1851855415 | Bailey Catherine Zembower Borrow | Counselor | 3 Kensington Sq, New Kensington, PA 15068-6443 | 2019-01-29 |
| 1689145831 | Zachary Clarke Byam | Counselor | 3 Kensington Sq, New Kensington, PA 15068-6443 | 2018-12-16 |
| 1730628892 | Counseling for Progress, LLC | Counselor | 1628 4th Ave Rear, New Kensington, PA 15068-4404 | 2017-02-21 |
| 1720523582 | Kathleen Fawcett | Counselor | 3 Kensington Sq, Suite B, New Kensington, PA 15068-6443 | 2017-01-03 |
| 1861892929 | Megan Nowikowski | Counselor | 310 Central City Plz, New Kensington, PA 15068-6441 | 2014-08-26 |
| 1346661691 | Kimberly Kraft | Counselor | 3 Kensington Sq, Suite B, New Kensington, PA 15068-6443 | 2014-01-03 |
| 1023452323 | Abra E Mcclure | Counselor | 3 Kensington Sq, Suite B, New Kensington, PA 15068-6443 | 2013-04-18 |
| 1023353737 | Kathryn Tanski | Counselor | 3 Kensington Square, Suite B, New Kensington, PA 15068 | 2012-12-06 |
| Find all providers in NEW KENSINGTON | ||||
| City | NEW KENSINGTON |
| Zip Code | 15068 |
Please comment or provide details below to improve the information on FAWN M. CLARK.
| 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.