EDWARD CLARK (NPI# 1235146697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235146697 |
| Entity Type | Individual |
| Full Name | EDWARD CLARK |
| Credential | LCSW |
| Practice Address |
121 E Elwood Ave Raeford NC 28376-2947 |
| Mailing Address |
Po Box 9 West End NC 27376-0009 |
| Practice Telephone | 9108758156 |
| Practice Fax Number | 9108755579 |
| Mailing Telephone | 9106739111 |
| Mailing Fax Number | 9106736202 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C000989 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6003566 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043570732 | Edward Clark | Counselor | 4015 Nine Mcfarland Dr, Suite #175, Alpharetta, GA 30004-8493 | 2012-05-29 |
| 1093028870 | Edward Derby Clark I | Counselor | 1355 Pebblewood Dr, Sacramento, CA 95833-1612 | 2010-07-21 |
| 1053474080 | Edward Joseph Clark IIi | Radiology | 1705 S. Tarboro St, Wilson, NC 27893 | 2006-12-19 |
| 1730294232 | Edward Deallen Clark | Obstetrics & Gynecology | 1600 W College St Ste Ll10, Grapevine, TX 76051-3598 | 2006-08-21 |
| 1205843604 | Edward Mark Clark | Dentist | 5211 Yellowstone Rd, Ste # 1, Cheyenne, WY 82009-4761 | 2006-08-01 |
| 1528074523 | Edward Lee Clark | Dentist | 2727 Sw 17th Pl, Redmond, OR 97756-1297 | 2006-07-31 |
| 1124028311 | Edward C Clark | Ophthalmology | 11355 Pembrooke Sq, Suite 107, Waldorf, MD 20603-4805 | 2005-07-28 |
| 1013917814 | Edward C Clark | Internal Medicine | 311 W 24th St, Suite 402, Erie, PA 16502-2665 | 2005-07-22 |
| 1063072429 | Edward Clark | Technician | 1310 6th St Nw, Washington, DC 20001-3495 | 2019-06-18 |
| 1710490800 | Edward E Clark Jr. | Registered Nurse | 10 Penfield Ave, Akron, OH 44310-2912 | 2017-11-10 |
| Street Address |
121 E ELWOOD AVE |
| City | RAEFORD |
| State | NC |
| Zip Code | 28376-2947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497772271 | Sandhills Center for Mental Health, Developmental Disabilities and Sub | Psychiatry & Neurology | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2006-07-16 |
| 1760014211 | Elizabeth Ann Watson | Counselor | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2020-02-12 |
| 1225523921 | Lauren Phillips | Social Worker | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2018-06-25 |
| 1861994196 | Brittany Kay Bridges | Counselor | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2018-03-02 |
| 1033628722 | Rhonda Peterson | Counselor | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2017-09-25 |
| 1124566401 | Alexandra Barth | Counselor | 121 E Elwood Ave, Raeford, NC 28376 | 2017-02-07 |
| 1356794440 | Shaquita Danielle Jones | Nurse Practitioner | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2016-07-13 |
| 1538405519 | Lynn Pearson Hopler | Counselor | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2012-12-20 |
| 1174868400 | Tameca D Davis | Social Worker | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2012-11-27 |
| 1407106610 | Vernon R Johnson | Counselor | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2012-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185104 | Elite Supply Services, Inc. | Durable Medical Equipment & Medical Supplies | 2148 Bus-us 401, Raeford, NC 28376 | 2020-05-18 |
| 1205485695 | Brenda P Gregorio | Technician | 297 Gregorios Ln, Raeford, NC 28376 | 2019-09-09 |
| 1083197115 | Jennifer Picerno Bowyer | Nurse Practitioner | 929 Prospect Ave., Raeford, NC 28376 | 2018-09-14 |
| 1730694746 | Embassy Health Network | Counselor | 2148 Hwy 401 Business, Raeford, NC 28376 | 2017-12-13 |
| 1508398991 | Rockfish Pharmacy Inc | Pharmacy | 221 Flagstone Lane, Raeford, NC 28376 | 2017-04-03 |
| 1205281235 | William Fiebig | Nurse Practitioner | Hoke Hospital, 210 Medical Pavilion Drive, Raeford, NC 28376 | 2016-04-27 |
| 1306200647 | Tia Hart Community Recovery Program | Community/Behavioral Health | 2188 A Us 401 Business, Raeford, NC 28376 | 2016-04-13 |
| 1508240631 | Integrated Mental Health Services Agency Inc | Community/Behavioral Health | 2188-a Hwy 401 Business, Raeford, NC 28376 | 2015-07-18 |
| 1649658287 | Divine Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 320 Birch St, Raeford, NC 28376 | 2015-05-15 |
| 1992192298 | David Abdulhaqq | Counselor | 225 Aggies Lane, Raeford, NC 28376 | 2015-04-24 |
| Find all providers in zip 28376 | ||||
| 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 |
|---|---|---|---|---|
| 1538777404 | Lashanda Peterkin Greene | Social Worker | 2142 Hwy 401 Bus, Raeford, NC 28376-5857 | 2020-07-16 |
| 1073143319 | Tashauna Neves | Social Worker | 114 W Edinborough Ave., Raeford, NC 28376-2837 | 2020-01-24 |
| 1760021729 | Jennifer Michelle Thomas-townsend | Social Worker | 260 Tadcaster Ct, Raeford, NC 28376-6623 | 2019-12-22 |
| 1780239756 | Lorri Udom | Social Worker | 159 Red Oak Ct, Raeford, NC 28376-7463 | 2019-08-07 |
| 1205394616 | Elizabeth Rivas | Social Worker | 164 Edisto Ct, Raeford, NC 28376-9001 | 2019-03-05 |
| 1962913673 | Darrin Lee Mcneill | Social Worker | 207 S Stewart St, Raeford, NC 28376-3329 | 2017-10-20 |
| 1518480003 | Outreach Journey Counseling Pllc | Social Worker | 434 Harris Ave, Raeford, NC 28376-3112 | 2017-07-17 |
| 1972032050 | Jessica Parfitt | Social Worker | 2154 Hwy 401 Bus, Raeford, NC 28376-5857 | 2017-06-12 |
| 1891160271 | Monica Haynes Bowens | Social Worker | 9879 Rockfish Rd, Raeford, NC 28376-6727 | 2015-12-10 |
| 1790166395 | Andrea Lee Abbott | Social Worker | 7489 Rockfish Rd, Raeford, NC 28376-6131 | 2015-06-09 |
| Find all providers in RAEFORD | ||||
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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.