SANDRA CLARK (NPI# 1356808372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356808372 |
| Entity Type | Individual |
| Full Name | SANDRA CLARK |
| Practice Address |
2319 Saint Matthews Rd Orangeburg SC 29118-2042 |
| Practice Telephone | 8035361571 |
| Practice Fax Number | 8035343860 |
| Mailing Telephone | 8035361571 |
| Mailing Fax Number | 8035343860 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1013568039 | Sandra D Clark | Technician | 718 W 14th St, Junction City, KS 66441-2129 | 2019-09-20 |
| 1972980001 | Sandra Clark | Counselor | 66950 Ironwood Dr Apt 223, Desert Hot Springs, CA 92240-4401 | 2015-04-27 |
| 1154750586 | Sandra Clark | Social Worker | 3805 Woodside Dr, Sanford, NC 27332-8110 | 2013-11-06 |
| 1205142106 | Sandra Denice Clark | Counselor | 5701 N Hills St, Meridian, MS 39307-2903 | 2010-08-30 |
| 1003141425 | Sandra Ellen Clark | Speech-Language Pathologist | 242 Maple Dr, Shippenville, PA 16254-9022 | 2009-10-03 |
| 1487890489 | Sandra Marie Clark | Registered Nurse | 312 E 207th St, Bronx, NY 10467-4202 | 2008-12-21 |
| 1669623708 | Sandra Kay Clark | Behavioral Analyst | 16503 W Mckinley St, Goodyear, AZ 85338-6170 | 2008-10-07 |
| 1669696019 | Sandra Clark | Social Worker | 534 S Terrace Rd, Chandler, AZ 85226-4626 | 2007-04-13 |
| 1578692463 | Sandra Clark | Radiologic Technologist | 139 County Road 379, Water Valley, MS 38965-3607 | 2007-03-05 |
| Street Address |
2319 SAINT MATTHEWS RD |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29118-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619966843 | Diane Bell | Counselor | 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042 | 2005-10-20 |
| 1982229464 | Keisha Sharie Yarborough | Nurse Practitioner | 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042 | 2020-06-10 |
| 1760016208 | Morris Lewis Thompson | Counselor | 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042 | 2020-02-24 |
| 1992338537 | Karyney T Mcmillan | Counselor | 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042 | 2020-02-21 |
| 1952934697 | Jessica Marie Davis | Counselor | 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042 | 2020-02-21 |
| 1154968303 | Touray K Beaton Jr. | Counselor | 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042 | 2019-12-06 |
| 1871138206 | Elaine Hamilton Kelly | Counselor | 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042 | 2019-11-08 |
| 1760024772 | Charlene Simmons | Counselor | 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042 | 2019-10-10 |
| 1841759487 | Ashley E Keys | Counselor | 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042 | 2019-03-13 |
| 1659836583 | Tomeka Banks | Counselor | 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042 | 2019-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268175 | Sharon Y Tremble | Speech-Language Pathologist | 222 Summit Parkway, Orangeburg, SC 29118 | 2020-06-08 |
| 1922658756 | Orangeburg County School District | Local Education Agency (LEA) | 102 Founders Court, Orangeburg, SC 29118 | 2019-09-13 |
| 1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
| 1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
| 1104320001 | South Carolina Surgical Pa | Surgery | 3045 St Matthews Road, Orangeburg, SC 29118 | 2018-03-23 |
| 1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
| 1730691882 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 125 Kinard St, Orangeburg, SC 29118 | 2017-10-30 |
| 1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1881977726 | Ontime Transport LLC | Non-emergency Medical Transport (VAN) | 2851 Pelham Ct, Orangeburg, SC 29118 | 2011-09-27 |
| Find all providers in zip 29118 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
| 1558840660 | Helping Others Pursue Excellence, LLC | Counselor | 845 Holly St, Orangeburg, SC 29115-4830 | 2018-08-09 |
| 1417470709 | Shandrea Houser | Counselor | 1729 Village Park Dr, Orangeburg, SC 29118-2475 | 2017-07-19 |
| 1265732283 | Edward Honcharski | Counselor | 15 Dutch Hill Rd, Orangeburg, NY 10962-1705 | 2010-10-25 |
| 1720246374 | Francisca Chambers | Counselor | 1408 Russell St, Suite 15, Orangeburg, SC 29115-6053 | 2008-05-30 |
| 1043232655 | Roberta D Jackson | Counselor | 2316 St Matthews Road, Orangeburg, SC 29118 | 2006-07-24 |
| 1407880172 | Edward J Glover | Counselor | 2319 St. Matthews Rd, Orangeburg, SC 29118 | 2006-07-10 |
| 1982638896 | Doris W Johnson | Counselor | 2319 St, Matthews Rd., Orangeburg, SC 29118 | 2006-07-10 |
| 1710911581 | Felicia R Jamison-cheeks | Counselor | 2319 St. Matthews Rd., Orangeburg, SC 29118 | 2006-07-10 |
| 1619966843 | Diane Bell | Counselor | 2319 Saint Matthews Rd, Orangeburg, SC 29118-2042 | 2005-10-20 |
| Find all providers in ORANGEBURG | ||||
| City | ORANGEBURG |
| Zip Code | 29118 |
Please comment or provide details below to improve the information on SANDRA 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.