BRENDA CLARK (NPI# 1255820569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255820569 |
| Entity Type | Individual |
| Full Name | BRENDA CLARK |
| Credential | LSW |
| Practice Address |
4641 Fulton Dr Nw Canton OH 44718-2384 |
| Mailing Address |
2662 Wintergreen Ln Ravenna OH 44266-7836 |
| Practice Telephone | 3304336075 |
| Mailing Telephone | 3303576797 |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265083497 | Brenda Clark | Technician | 5824 Catalina Dr, Columbus, GA 31909-4660 | 2019-09-29 |
| 1346592946 | Brenda Flynn Clark | Social Worker | 601n State St, Ukiah, CA 95482-4026 | 2012-10-05 |
| 1346536802 | Brenda J. Clark | Massage Therapist | 19626 Nara Vista Dr, Tomball, TX 77377-3478 | 2011-06-23 |
| 1629373881 | Brenda Jill Clark | Nurse Practitioner | 2312 Ridgeway Ave, Oskaloosa, IA 52577-9109 | 2011-01-20 |
| 1710147798 | Brenda S Clark | Speech-Language Pathologist | 7501 Otoe Pl, Lincoln, NE 68506-3636 | 2008-06-12 |
| 1417979576 | Brenda B Clark | Physician Assistant | 371 Nc Hwy 65, Suite204 Rockingham Co. Dept of Public Health, Wentworth, NC 27375-0204 | 2006-07-24 |
| 1760479661 | Brenda Clark | Nurse Practitioner | 5717 Albemarle Rd, Charlotte, NC 28212-1634 | 2005-10-05 |
| 1881245850 | Brenda B Clark | Registered Nurse | 6565 Fannin St, Houston, TX 77030-2703 | 2019-09-21 |
| 1376050914 | Brenda Belden Clark | Pharmacist | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2018-01-04 |
| 1508379504 | Brenda M Clark | Registered Nurse | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2017-11-13 |
| Street Address |
4641 FULTON DR NW |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134206931 | Donna L Eleo | Counselor | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2006-11-01 |
| 1235752213 | Caitlin Schneider | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2020-05-25 |
| 1417577149 | Sarah Liquorman | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2020-04-22 |
| 1962030395 | Kara Lynn Kimevski | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2020-03-31 |
| 1124666904 | Ashlen Mitchell | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2019-12-12 |
| 1285279901 | Grace Elizabeth Maxton | Nurse Practitioner | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2019-11-18 |
| 1790331122 | Cory Ramsey | Behavioral Analyst | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2019-08-12 |
| 1104486729 | Caroline Witek | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2019-06-17 |
| 1275191678 | Carol Sue Schott | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2019-05-31 |
| 1053978890 | Emma Farkas | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2019-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373308 | Courtney Miller | Social Worker | 41845 Old Bridge Rd, Canton, MI 48188-1242 | 2020-10-14 |
| 1609486612 | Jennifer Zahler | Social Worker | 46463 Hanford Rd, Canton, MI 48187-4784 | 2020-08-04 |
| 1558979492 | Amber Lynn Spicer | Social Worker | 2007 Bellingham St, Canton, MI 48188-1880 | 2020-07-16 |
| 1902414824 | Suzanne C Bradshaw | Social Worker | 4942 Higbee Ave Nw Ste Candd, Canton, OH 44718-2554 | 2020-07-16 |
| 1306461272 | Premela G. Deck | Social Worker | 789 Washington St, Canton, MA 02021-3021 | 2020-06-16 |
| 1750904256 | Sheila Gail Pransky | Social Worker | 29 Kelly Way, Canton, MA 02021-2786 | 2020-05-19 |
| 1659900769 | Maureen Dervan | Social Worker | 7 Shepard Way, Canton, MA 02021-1119 | 2020-04-02 |
| 1720610025 | Ashley Dornhecker | Social Worker | 3361 Malory Cir Nw, Canton, OH 44708-1168 | 2020-02-05 |
| 1801441878 | Madeeha Raja Abbasi | Social Worker | 42485 Majestic Ct, Canton, MI 48188-1136 | 2019-08-07 |
| 1366095044 | Haley Film | Social Worker | 903 Clarendon Ave Nw, Canton, OH 44708-4243 | 2019-07-22 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on BRENDA 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.