SUSAN CLARK (NPI# 1396271250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396271250 |
| Entity Type | Individual |
| Full Name | SUSAN CLARK |
| Practice Address |
100 N 5th St Mcalester OK 74501-5084 |
| Mailing Address |
2024 Denver St Muskogee OK 74401-7117 |
| Practice Telephone | 9184205343 |
| Mailing Telephone | 9184410100 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161950 | Susan Marie Clark | Nurse Practitioner | 674 Coral Way, Winter Springs, FL 32708-3127 | 2020-07-09 |
| 1528591575 | Susan Clark | Counselor | 604 S Walnut, Stillwater, OK 74074-4222 | 2017-04-06 |
| 1790178556 | Susan March Clark | Peer Specialist | 3277 E 2nd St, Tulsa, OK 74104-2134 | 2015-03-17 |
| 1841537990 | Susan Noble Clark | Developmental Therapist | 1730 Radcliffe Rd, Montgomery, AL 36106-2620 | 2013-01-09 |
| 1881963411 | Susan Clark | Occupational Therapy Assistant | 38 Wheeler Ave, Warwick, NY 10990-1341 | 2011-12-28 |
| 1437302684 | Susan Maslin Clark | Chiropractor | 20416 Bowfonds St, Ashburn, VA 20147-7457 | 2008-11-01 |
| 1871780940 | Susan Marie Clark | Counselor | 112 S Water St Ste B, Kent, OH 44240-3689 | 2007-10-02 |
| 1750403861 | Susan M Clark | Psychologist | 1022 Cherokee Ave, Royal Oak, MI 48067 | 2007-04-06 |
| 1598892085 | Susan L Clark | Psychiatry & Neurology | 9515 60th Ave W, Mukilteo, WA 98275 | 2007-02-28 |
| 1609968692 | Susan M Clark | Pediatrics | 1318 S Main Road, Vineland, NJ 08360 | 2006-09-28 |
| Street Address |
100 N 5TH ST |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501-5084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760959712 | Lacey Nicole Arteberry | Counselor | 100 N 5th St, Mcalester, OK 74501-5084 | 2018-10-29 |
| 1124595020 | Breana Marie Thompson | Counselor | 100 N 5th St, Mcalester, OK 74501-5084 | 2018-10-29 |
| 1114464898 | Jennifer E Jackson | Social Worker | 100 N 5th St, Mcalester, OK 74501-5084 | 2017-01-19 |
| 1265981922 | Gwyn Honeycutt | Counselor | 100 N 5th St, Mcalester, OK 74501-5084 | 2016-09-22 |
| 1609221290 | Ellis King | Counselor | 100 N 5th St, Mcalester, OK 74501-5084 | 2016-05-02 |
| 1780049486 | Amber Giacomo | Social Worker | 100 N 5th St, Mcalester, OK 74501-5084 | 2015-12-22 |
| 1912372285 | Teresa Stevenson | Counselor | 100 N 5th St, Mcalester, OK 74501-5084 | 2015-12-11 |
| 1790156941 | Marian Kerns | Registered Nurse | 100 N 5th St, Mcalester, OK 74501-5084 | 2015-10-14 |
| 1770979031 | Kamileah Davis | Counselor | 100 N 5th St, Mcalester, OK 74501-5084 | 2015-04-13 |
| 1831585579 | Bonita Baker | Counselor | 100 N 5th St, Mcalester, OK 74501-5084 | 2015-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676622 | Ashley Dawn Adams | Case Manager/Care Coordinator | 168 Giaudrone Rd, Mcalester, OK 74501-5692 | 2020-10-12 |
| 1619587888 | Katheryn Jean Lightle | Case Manager/Care Coordinator | 806 E Ashland Ave, Mcalester, OK 74501-2136 | 2020-08-03 |
| 1508423427 | Ashlee Dawn Skidmore | Case Manager/Care Coordinator | 140 E Hilltop Rd, Mcalester, OK 74501-7573 | 2019-05-27 |
| 1376107896 | Mason Smith | Case Manager/Care Coordinator | 2506 Falcon Ln, Mcalester, OK 74501-7324 | 2019-04-30 |
| 1588126106 | Alisha Dawn Ketchum | Case Manager/Care Coordinator | 2 N Buck Rd, Mcalester, OK 74501-5888 | 2019-04-02 |
| 1013481001 | Larry Glen Maxey | Case Manager/Care Coordinator | 505 Lark Dr, Mcalester, OK 74501-7311 | 2019-01-14 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1710425723 | Jacob Parsons | Case Manager/Care Coordinator | 2205 Mockingbird Ln, Mcalester, OK 74501-7373 | 2017-02-09 |
| 1336685122 | Katherine Williams | Case Manager/Care Coordinator | 903 E Pierce Ave, Mcalester, OK 74501-3817 | 2017-01-17 |
| Find all providers in MCALESTER | ||||
Please comment or provide details below to improve the information on SUSAN 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.