NICOLE MICHELLE CLARK (NPI# 1285182022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285182022 |
| Entity Type | Individual |
| Full Name | NICOLE MICHELLE CLARK |
| Credential | LSW |
| Practice Address |
1349 East Stroop Road Dayton OH 45429-4925 |
| Mailing Address |
3506 Danbury Road Fairfield OH 45014-5311 |
| Practice Telephone | 9372938300 |
| Mailing Telephone | 5133829202 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | S1303565 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344826 | Nicole Clark | Home Health Aide | 1024 E 26th Ave, Columbus, OH 43211-2127 | 2020-10-26 |
| 1386106375 | Nicole Clark | Prosthetist | 100 N Burke Ave, Long Beach, MS 39560-4605 | 2019-04-01 |
| 1023513637 | Nicole Elizabeth Clark | Counselor | 3650 Ne Mallory Ave Apt 309, Portland, OR 97212-3086 | 2018-03-26 |
| 1619486834 | Nicole Clark | Registered Nurse | N4093 Keehn Rd, Winter, WI 54896-7312 | 2017-09-20 |
| 1871968768 | Nicole Clark | Specialist/Technologist | 332 Wilson Dr, Bloomfield, IN 47424-1054 | 2015-12-03 |
| 1598165144 | Nicole Janine Clark | Behavioral Analyst | 1787 Village Ln N, Wantagh, NY 11793-3228 | 2014-09-02 |
| 1841609484 | Nicole Tm Clark | Emergency Medicine | 267 Ocean Ave, Portland, ME 04103-5707 | 2014-08-07 |
| 1851445670 | Nicole Ann Clark | Social Worker | 2051 S State St, Ann Arbor, MI 48104-4607 | 2007-01-22 |
| 1982767604 | Nicole Christine Clark | Licensed Practical Nurse | 241 Lorraine Ave, Syracuse, NY 13210-3229 | 2006-12-18 |
| 1760598411 | Nicole Anne Clark | Family Medicine | 475 W 940 N, Provo, UT 84604-3301 | 2006-08-22 |
| Street Address |
1349 EAST STROOP ROAD |
| City | DAYTON |
| State | OH |
| Zip Code | 45429-4925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| 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 |
|---|---|---|---|---|
| 1184239121 | Sara Ann Hillix | Social Worker | 8910 Treeland Ln, Dayton, OH 45458-2703 | 2020-09-15 |
| 1568081115 | Lacey Danae Martin | Social Worker | 124 W Apple St, Dayton, OH 45402-2617 | 2020-04-14 |
| 1609426840 | Patrice Marie Sullivan | Social Worker | 4100 W 3rd St Ste 241, Dayton, OH 45428-9000 | 2019-09-19 |
| 1275005340 | Ria D. Megnin | Social Worker | 2104 King Ave, Dayton, OH 45420-2453 | 2018-12-29 |
| 1487130035 | Monica Summers | Social Worker | 6444 Woodsedge Ct, Dayton, OH 45449-3417 | 2018-07-17 |
| 1710471461 | Renee Katherine Blossom | Social Worker | 2694 Latonia Ave, Dayton, OH 45439-2923 | 2018-06-17 |
| 1720571748 | Freshana S Withrow-harris | Social Worker | 8038 Bellcreek Ln, Dayton, OH 45426-4732 | 2018-06-13 |
| 1689165466 | Andrea Lee Sierra | Social Worker | 7130 Robert Ulrich Ave, Dayton, OH 45415-1411 | 2018-05-28 |
| 1265922942 | Kara Kathleen Pickrell | Social Worker | 1129 Miamisburg Centerville Rd Ste 201, Dayton, OH 45449-4052 | 2018-05-17 |
| 1851803332 | Dola Mae Landis | Social Worker | 8145 N Main St, Dayton, OH 45415-1703 | 2017-10-24 |
| Find all providers in DAYTON | ||||
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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.