JACQUELINE ANNE CLARK (NPI# 1245578343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245578343 |
| Entity Type | Individual |
| Full Name | JACQUELINE ANNE CLARK |
| Credential | PC |
| Practice Address |
2845 Bell St Zanesville OH 43701-1720 |
| Practice Telephone | 7404549766 |
| Practice Fax Number | 7405886452 |
| Mailing Telephone | 7404549766 |
| Mailing Fax Number | 7405886452 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C 1100095 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720594955 | Jacqueline Clark | Behavior Technician | 10530 Warwick Ave Ste C2, Fairfax, VA 22030-3132 | 2017-12-26 |
| 1336552629 | Jacqueline Clark | Specialist/Technologist | 550 Huntington Ave, Boston, MA 02115-5901 | 2014-06-04 |
| 1497015762 | Jacqueline Clark | Counselor | 923 Powell Ave Sw, Suite 100, Renton, WA 98057-2941 | 2012-05-21 |
| 1407008287 | Jacqueline Ruth Clark | Licensed Practical Nurse | 26308 Crocker Rd, Columbia Station, OH 44028-9301 | 2008-10-13 |
| 1902424161 | Jacqueline E Clark | Advanced Practice Midwife | 1021 Nebraska St, Sioux City, IA 51105-1436 | 2020-07-13 |
| 1205456795 | Jacqueline Clark | Behavior Technician | 182 El Dorado St, Monterey, CA 93940-3118 | 2020-04-24 |
| 1982175493 | Jacqueline Clark | Occupational Therapist | 888 Terrace St, Muskegon, MI 49440-1220 | 2018-12-10 |
| 1194244749 | Jacqueline Ann Clark | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2017-09-14 |
| 1215452958 | Jacqueline Clark | Physical Therapist | 546 E Sandy Lake Rd Ste 110, Coppell, TX 75019-5787 | 2017-08-03 |
| 1013255611 | Jacqueline Marie Clark | Registered Nurse | 700 19th St S, Birmingham, AL 35233-1927 | 2013-01-17 |
| Street Address |
2845 BELL ST |
| City | ZANESVILLE |
| State | OH |
| Zip Code | 43701-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235127242 | Stephen Michael Scrimenti | Psychologist | 2845 Bell St, Zanesville, OH 43701-1720 | 2005-10-12 |
| 1205433158 | Scotti L Mesarchik | Social Worker | 2845 Bell St, Zanesville, OH 43701-1720 | 2020-10-05 |
| 1447864210 | Sarah J Gotschall | Counselor | 2845 Bell St, Zanesville, OH 43701-1720 | 2020-08-31 |
| 1245852276 | Jackolyn Marie Stallard | Counselor | 2845 Bell St, Zanesville, OH 43701-1720 | 2020-05-13 |
| 1144853722 | Allison B Dennis | Specialist | 2845 Bell St, Zanesville, OH 43701-1720 | 2020-02-21 |
| 1285267088 | Shanaye K Carr | Counselor | 2845 Bell St, Zanesville, OH 43701-1720 | 2020-02-20 |
| 1235761578 | Elicia N Brooks | Social Worker | 2845 Bell St, Zanesville, OH 43701-1720 | 2020-02-05 |
| 1154966869 | Diana L Mynes | Case Manager/Care Coordinator | 2845 Bell St, Zanesville, OH 43701-1720 | 2019-11-18 |
| 1891339362 | Kylie J. Johnson | Case Manager/Care Coordinator | 2845 Bell St, Zanesville, OH 43701-1720 | 2019-10-29 |
| 1902451743 | Tammy Jean Mynes | Registered Nurse | 2845 Bell St, Zanesville, OH 43701-1720 | 2019-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932694791 | Robert Edward Russell II | Counselor | 1590 Coal Run Rd., Zanesville, OH 43701 | 2018-06-25 |
| 1871010975 | Amy Caroline Blackford | Occupational Therapist | 4039 Old Wheeling Road, Zanesville, OH 43701 | 2017-08-29 |
| 1598286825 | Michele Ann Ehrnfield | Counselor | 930 Bethesda Drive, Zanesville, OH 43701 | 2017-06-27 |
| 1306382163 | Nadine Curry | Counselor | 4509 Pinkerton Rd, Foxfire Schools, Zanesville, OH 43701 | 2017-01-17 |
| 1669916219 | Kathleen Caughell | Counselor | 1590 Coal Run Rd, Zanesville, OH 43701 | 2016-12-15 |
| 1154877728 | Katherine Williams | Registered Nurse | 1125 Ellis Dam Rd, Zanesville, OH 43701 | 2016-09-01 |
| 1801342415 | Foxfire Intermediate School | Local Education Agency (LEA) | 2805 Pinkerton Road, Zanesville, OH 43701 | 2016-09-01 |
| 1770936353 | Tiffany Branson | Nurse Practitioner | 955 Bethesda Drive, 1st Floor, Zanesville, OH 43701 | 2016-07-19 |
| 1194175497 | Life Support Therapy Services LLC | Counselor | 941 Blue Ave, Zanesville, OH 43701 | 2016-06-16 |
| 1669876546 | Tami Sue Wofter | Licensed Practical Nurse | 21 Butler Drive, Zanesville, OH 43701 | 2014-10-21 |
| Find all providers in zip 43701 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235622481 | Lisa M Finck | Counselor | 1565 Bowers Ln, Zanesville, OH 43701-1021 | 2018-06-12 |
| 1386766467 | Radiant Star Counseling Services LLC | Counselor | 1846 Dresden Rd, Suite A, Zanesville, OH 43701-2349 | 2007-04-06 |
| 1902874589 | Allwell Behavioral Health Services | Counselor | 3405 Dillon Acres Dr, Zanesville, OH 43701-9658 | 2006-03-09 |
| 1447864210 | Sarah J Gotschall | Counselor | 2845 Bell St, Zanesville, OH 43701-1720 | 2020-08-31 |
| 1245852276 | Jackolyn Marie Stallard | Counselor | 2845 Bell St, Zanesville, OH 43701-1720 | 2020-05-13 |
| 1285267088 | Shanaye K Carr | Counselor | 2845 Bell St, Zanesville, OH 43701-1720 | 2020-02-20 |
| 1316503568 | Muskingum County Drug, Alcohol and Substance Abuse Council Inc | Counselor | 1127 W Main St, Zanesville, OH 43701-3147 | 2019-05-14 |
| 1609354802 | Cameron Joseph Godfrey | Counselor | 2845 Bell St, Zanesville, OH 43701-1720 | 2018-07-31 |
| 1639666589 | Lori Lee Baker | Counselor | 2845 Bell St, Zanesville, OH 43701-1720 | 2018-04-17 |
| 1356851554 | Courtney Marie Kerns | Counselor | 3814 James Ct, Zanesville, OH 43701-0965 | 2017-10-03 |
| Find all providers in ZANESVILLE | ||||
| City | ZANESVILLE |
| Zip Code | 43701 |
Please comment or provide details below to improve the information on JACQUELINE ANNE 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.