MS. CAROLINE CLARK


Address: 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918
Phone: 6163363909

MS. CAROLINE CLARK (NPI# 1336536317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336536317
Entity Type Individual
Full Name MS. CAROLINE CLARK
Credential MSW
Practice Address 790 Fuller Ave Ne
Grand Rapids
MI 49503-1918
Practice Telephone 6163363909
Practice Fax Number 6163362475
Mailing Telephone 6163363909
Mailing Fax Number 6163362475
Enumeration Date 2015-04-17
Last Update Date 2015-04-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
6801064274 MI Behavioral Health & Social Service Providers

Other Providers CAROLINE CLARK

NPI Name Taxonomy Address Enumeration
1992205975 Caroline Clark Counselor 1878 S Genoa St, Aurora, CO 80017-4620 2018-02-16
1356956452 Caroline Clark Clinical Nurse Specialist 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 2020-09-15
1619488350 Caroline June Clark Marriage & Family Therapist 1489 W Warm Springs Rd, Henderson, NV 89014-7635 2017-10-20
1366979825 Caroline Gray Clark Social Worker 201 W Springdale Ave, Knoxville, TN 37917-5158 2017-05-16
1083151047 Caroline Clark Physical Therapist 80 Seven Hills Blvd, Suite 105, Dallas, GA 30132-0574 2017-01-27
1992189237 Caroline Shaffner Clark Physician Assistant 2001 Randolph Rd, Charlotte, NC 28207-1215 2015-07-16
1972933810 Caroline Carmela Clark Psychiatry & Neurology 4301 Wilson St, Fort Sill, OK 73503-4472 2013-11-13
1962771568 Caroline Lee Clark Nurse Practitioner 31 Heath St, Jamaica Plain, MA 02130-1650 2011-12-28
1033487376 Caroline Kelly Clark Social Worker 121 London Rd, Asheville, NC 28803-2707 2011-12-01
1861586182 Caroline Clark Nurse Practitioner 602 E Nob Hill Blvd, Yakima, WA 98901-3534 2006-10-03

Office Location

Street Address 790 FULLER AVE NE
City GRAND RAPIDS
State MI
Zip Code 49503-1918

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821083924 Mazhar Munir Psychiatry & Neurology 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2005-09-14
1285233601 Jenna Lee Liszewski Social Worker 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-10-19
1841898988 Amy Kruithoff Social Worker 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-10-12
1043837529 Jessica Garland Social Worker 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-06-30
1720604135 Mareena Lynn Terry Registered Nurse 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-06-22
1669097945 Kevin Ryan Beedon Peer Specialist 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-06-11
1609404805 Kimberly Eisenbarth Recreation Therapist 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-04-01
1376179325 Patricia Kregg Peer Specialist 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-03-20
1922630375 Erica Suzanne Wilson Counselor 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-02-04
1245861574 Melissa J. Anthony Counselor 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 2020-01-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225639560 Ananya Avinash Social Worker 235 Olivia Ct Nw, Grand Rapids, MI 49504-5897 2020-11-03
1982203485 Becoming You Therapy Pllc Social Worker 2346 Mission Hills Dr Se, Grand Rapids, MI 49546-7804 2020-10-26
1235738774 Huffman Counseling Services LLC Social Worker 1950 Waldorf St Nw Ste E, Grand Rapids, MI 49544-1488 2020-10-24
1730795816 Elizabeth Anne Maher Social Worker 1519 Pontiac Rd Se, Grand Rapids, MI 49506-3367 2020-09-23
1437764511 Titiana Shanee Richardson Social Worker 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 2020-09-15
1205448834 Rose Training & Education, LLC Social Worker 156 Hillview Ave Ne, Grand Rapids, MI 49503-3824 2020-08-17
1497366967 Krista L. Leinberger, LLC Social Worker 548 Fairview Ave Ne Apt 1, Grand Rapids, MI 49503-2581 2020-08-10
1609493782 Lauren Anne Tarkiewicz Social Worker 700 Alger St Se, Grand Rapids, MI 49507-3531 2020-07-06
1841814779 Molly Ballantyne Social Worker 1166 Hall St Se, Grand Rapids, MI 49507-1971 2020-06-06
1942839238 Patricia Hickey Msw Social Worker 2020 Raybrook St Se Ste 301, Grand Rapids, MI 49546-7717 2020-04-07
Find all providers in GRAND RAPIDS

Competitor

Search similar providers

City GRAND RAPIDS
Zip Code 49503

Improve Information

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Dataset Information

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.

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