MRS. CATHLEEN ANN CLARK (NPI# 1366597957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366597957 |
| Entity Type | Individual |
| Full Name | MRS. CATHLEEN ANN CLARK |
| Credential | LICSW |
| Practice Address |
1706 N Brady Suite 204 Davenport IA 52803 |
| Mailing Address |
Po Box 16 Leclaire IA 52753 |
| Practice Telephone | 5636501414 |
| Mailing Telephone | 5632894748 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 03801 | IA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659335859 | Cathleen Marie Clark | Physical Therapist | 209 Partridge Dr, Southington, CT 06489-4056 | 2006-04-14 |
| Street Address |
1706 N BRADY SUITE 204 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| 1588720122 | Kathy Peters | Chiropractor | 506 East Locust St, Davenport, IA 52803 | 2006-12-28 |
| Find all providers in zip 52803 | ||||
| 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 |
|---|---|---|---|---|
| 1801362926 | Lindsay Renee Gaddis | Social Worker | 1330 Royal St George Blvd, Davenport, FL 33896-5496 | 2018-10-16 |
| 1407373830 | Lynette Bisanz | Social Worker | 1722 Washington St, Davenport, IA 52804-3616 | 2017-08-25 |
| 1083065700 | Samantha Marie Conger | Social Worker | 1622 W 71st St, Davenport, IA 52806-7601 | 2016-06-23 |
| 1780054866 | Amber Paige | Social Worker | 538 Brayton Ln, Davenport, FL 33897-6244 | 2015-10-01 |
| 1124494380 | Erica Lauren Hempel Bucy | Social Worker | 1333 W. Lombard St. Ste C, Davenport, IA 52804 | 2015-08-11 |
| 1558761346 | Sophia Bridgette Reid | Social Worker | 302 Rollins Dr, Davenport, FL 33837-8239 | 2014-08-28 |
| 1851726160 | Morgan Cobie Ketner | Social Worker | 4620 E 53rd St Ste 235, Davenport, IA 52807-3620 | 2013-09-05 |
| 1184960726 | Emily R Clifton | Social Worker | 1678 W 42nd St Apt 2, Davenport, IA 52806-4516 | 2013-01-01 |
| 1013222728 | Judith Geralyn Pancratz | Social Worker | 3103 Tremont Ave, Davenport, IA 52803-1751 | 2010-08-18 |
| 1710142450 | Deborah Lee Moeller | Social Worker | 4455 East 56th Street, Davenport, IA 52807 | 2008-07-22 |
| Find all providers in DAVENPORT | ||||
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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.