TRACY MICHELLE CLARK


Address: 430 Niagara St, Buffalo, NY 14201-1886
Phone: 7168531335

TRACY MICHELLE CLARK (NPI# 1356856801) 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) 1356856801
Entity Type Individual
Full Name TRACY MICHELLE CLARK
Credential MSW
Practice Address 430 Niagara St
Buffalo
NY 14201-1886
Practice Telephone 7168531335
Practice Fax Number 7168531598
Mailing Telephone 7168531335
Mailing Fax Number 7168531598
Enumeration Date 2017-12-06
Last Update Date 2017-12-06
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Other Providers TRACY CLARK

NPI Name Taxonomy Address Enumeration
1013386085 Tracy Ann Clark Hearing Instrument Specialist 3389 W Woolbright Rd, Suite A, Boynton Beach, FL 33436-7245 2015-09-21
1528463593 Tracy Clark Speech-Language Pathologist 6000 Youngstown-warren Rd, Tcesc, Niles, OH 44446 2014-11-03
1366771750 Tracy Lynn Clark Licensed Practical Nurse 2 Backus St, Rochester, NY 14608 2009-12-14
1831103522 Tracy Clark Social Worker 50 Cypress Dr, Glenville, NY 12302-4344 2006-07-28
1104387687 Tracy Clark Jr. Behavior Technician 21600 Oxnard St Ste 1030, Woodland Hills, CA 91367-5085 2019-03-27
1174011670 Tracy Clark Behavior Technician 3160 Crow Canyon Pl Ste 205, San Ramon, CA 94583-1338 2018-04-30
1477907368 Tracy Clark Counselor 1406 Esplanade Ave, New Orleans, LA 70116-1803 2016-04-18
1952793051 Tracy Manning Clark Dentist 1500 S Dairy Ashford Rd, Ste. 114, Houston, TX 77077-3854 2015-02-26
1922433473 Tracy Sue Clark Pharmacist 7425 Wrigley Dr, Ste 104, Pasco, WA 99301-5292 2013-09-03
1770883977 Tracy Ann Clark Nurse Anesthetist, Certified Registered 232 S Woods Mill Rd, Chesterfield, MO 63017-3417 2010-10-22

Office Location

Street Address 430 NIAGARA ST
City BUFFALO
State NY
Zip Code 14201-1886

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285628149 Dianne M Loomis Family Medicine 430 Niagara St, Ubmd At Lakeshore, Buffalo, NY 14201-1886 2005-09-07
1477153906 Veronica Thompson Peer Specialist 430 Niagara St, Buffalo, NY 14201-1886 2020-10-26
1023616638 Eilise Maeve Shaw Peer Specialist 430 Niagara St, Buffalo, NY 14201-1886 2020-10-15
1083226914 Iris Savoy-burke Peer Specialist 430 Niagara St, Buffalo, NY 14201-1886 2020-08-21
1235749300 Kaitlyn Haux Case Manager/Care Coordinator 430 Niagara St, Buffalo, NY 14201-1886 2020-08-04
1134737638 Sedaya Thorne Counselor 430 Niagara St, Buffalo, NY 14201-1886 2020-07-21
1306464086 Anna Marinsky Sharpe Counselor 430 Niagara St, Buffalo, NY 14201-1886 2020-07-09
1356965032 Karan Walker Counselor 430 Niagara St, Buffalo, NY 14201-1886 2020-05-29
1942824560 Bianca J Bassett Counselor 430 Niagara St, Buffalo, NY 14201-1886 2020-05-29
1528681434 Linzy Jourdi Counselor 430 Niagara St, Buffalo, NY 14201-1886 2020-05-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619592201 Linda Berkoh-asamoah Nurse Practitioner Evergreen Health Services, 206 S. Elmwood Avenue, Buffalo, NY 14201 2020-06-10
1790223303 Walaa Kadhum Social Worker 340 Niagara Street, Buffalo, NY 14201 2017-02-02
1285171025 Santina Grace Phillips Counselor 10 Symphony Circle, Buffalo, NY 14201 2017-01-31
1073976759 Jana Riesterer Social Worker 254 Virginia Street, Buffalo, NY 14201 2016-03-31
1710309414 Chs N.y. Medical P.C. General Practice 10 Sheridan Rd, Buffalo, NY 14201 2014-01-15
1467722314 Kristin Nicole Halter Counselor 591 Niagara Street, Buffalo, NY 14201 2012-01-10
1538446844 Robert Martin Kennuth Specialist/Technologist 329 Porter Ave, D'youville College, Buffalo, NY 14201 2011-11-15
1902115033 James W Burcher Registered Nurse 430 Niagara, Buffalo, NY 14201 2010-10-07
1336468115 Jane Leslie Burgio Speech-Language Pathologist 315 Carolina St, Buffalo, NY 14201 2010-05-19
1376787044 Jessica Christina Licensed Practical Nurse 85 Johnson Park, Buffalo, NY 14201 2009-04-26
Find all providers in zip 14201

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
1841804713 Matthew A Tice Social Worker 50 Wyoming Ave, Buffalo, NY 14215-4022 2020-09-08
1700404621 Matthew H Davis Lcsw, Pllc Social Worker 90 Sylvan Pkwy, Buffalo, NY 14228-1109 2020-07-07
1093332496 Sarah Michelle Karpinski Social Worker 28 Parkview Ter, Buffalo, NY 14225-4010 2020-07-01
1558987610 Lianna Kay Zullich Social Worker 70 Barker Street, Buffalo, NY 14209-2013 2020-06-24
1437787348 Nina Marie Vandette Social Worker 221 Sundown Trl, Buffalo, NY 14221-2201 2020-03-28
1982230744 Jess Nowak Jr. Social Worker 102 Marty Dr Ste 2, Buffalo, MN 55313-9345 2020-03-12
1639730377 Eric Joseph Plotar Social Worker 975 Hertel Ave, Buffalo, NY 14216-2627 2019-06-24
1528531084 Kimberly Girdlestone Social Worker 3960 Harlem Road, Suite 6b, Buffalo, NY 14226 2019-01-08
1326518416 Kayla Marie Rogers Social Worker 131 Dewitt St, Buffalo, NY 14213-1313 2018-11-30
1376073668 Anna Shurmatz L.L.C. Social Worker 2495 Main St Ste 418, Buffalo, NY 14214-2154 2017-06-19
Find all providers in BUFFALO

Competitor

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City BUFFALO
Zip Code 14201

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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