EBONY CLARK (NPI# 1447715354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447715354 |
| Entity Type | Individual |
| Full Name | EBONY CLARK |
| Credential | LICSW |
| Practice Address |
60 O St Nw Washington DC 20001-1259 |
| Practice Telephone | 2027978806 |
| Mailing Telephone | 2027978806 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC50081242 | DC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003158569 | Ebony Clark | Behavioral Analyst | 7000 Paradise Rd Apt 2046, Las Vegas, NV 89119-4480 | 2013-03-22 |
| 1245776764 | Ebony Clark | Behavior Technician | 3602 Inland Empire Blvd Ste B208, Ontario, CA 91764-4912 | 2017-01-08 |
| Street Address |
60 O ST NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20001-1259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295719136 | Deborah S Edge | Internal Medicine | 60 O St Nw, Some Medical Clinic, Washington, DC 20001-1259 | 2005-12-05 |
| 1215568118 | Carolyn Clark | Social Worker | 60 O St Nw, Washington, DC 20001-1259 | 2020-01-29 |
| 1578114179 | Danny Johnson | Social Worker | 60 O St Nw, Washington, DC 20001-1259 | 2019-09-25 |
| 1720569189 | Eric David Samson | Dentist | 60 O St Nw, Washington, DC 20001-1259 | 2018-08-23 |
| 1912498460 | Iva Renee Collier | Community Health Worker | 60 O St Nw, Washington, DC 20001-1259 | 2018-05-21 |
| 1699272690 | Joseph Carlos Melendez | Social Worker | 60 O St Nw, Washington, DC 20001-1259 | 2018-04-07 |
| 1417453507 | Nancy Vincenzi | Social Worker | 60 O St Nw, Washington, DC 20001-1259 | 2018-04-05 |
| 1700387230 | Melissa Christine Musgrove | Social Worker | 60 O St Nw, Washington, DC 20001-1259 | 2018-02-21 |
| 1972046084 | Some, Inc. | Clinic/Center | 60 O St Nw, Washington, DC 20001-1259 | 2016-11-21 |
| 1063955177 | Some, Inc. | Clinic/Center | 60 O St Nw, Washington, DC 20001-1259 | 2016-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762673 | Muslimah Annjinnah Shaffi | Home Health Aide | Perry Health System, 128 M Street N.w., Washington Dc, DC 20001 | 2020-05-21 |
| 1275197378 | Marica Donisha Robinette | Home Health | 471 G Place, Nw, #32, Washington, DC 20001 | 2019-04-24 |
| 1689147571 | Maria R Barrera | Counselor | 440 L St Nw, Unit 610, Washington, DC 20001 | 2019-01-03 |
| 1083185086 | Corneesha Donielle Banks | Technician | 307 Kst Nw, #309, Washington, DC 20001 | 2018-12-17 |
| 1548730138 | Briana Shayron Smith | Technician | 150 Q St Ne 1427, Washington, DC 20001 | 2018-11-27 |
| 1235609876 | Edward Bruce Lawson | Technician | 3400 Banneker Dr 425, Northeast, DC 20001 | 2018-11-27 |
| 1740760750 | Minchu Chen | Acupuncturist | 1410, 9th Street Nw #1, First Floor, Washington, DC 20001 | 2018-08-19 |
| 1821574005 | Kimberly Ann Bell | Home Health Aide | 27 O St Nw #4, Washington, DC 20001 | 2018-07-11 |
| 1558859926 | Joan Avis Williams | Home Health Aide | Unique Resident Care Center, 901 First Street Nw, Washington, DE 20001 | 2018-05-01 |
| 1497274088 | Gabriela Andrea Jatene | Speech-Language Pathologist | 450 K Street Nw, Apt 306, Washington, DC 20001 | 2017-09-14 |
| Find all providers in zip 20001 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254769 | Ayana E Thompson | Social Worker | 706 Burns St Se, Washington, DC 20019-4913 | 2020-10-27 |
| 1265030282 | Amy Killy | Social Worker | 5402 Connecticut Ave Nw Ste 102, Washington, DC 20015-2830 | 2020-10-12 |
| 1144828385 | Ann Morrison | Social Worker | 5333 Connecticut Ave Nw Apt 528, Washington, DC 20015-1895 | 2020-10-10 |
| 1225645591 | Rs Davis Health & Wellness, LLC | Social Worker | 3200 Martin Luther King Jr Ave Se, Washington, DC 20032-1538 | 2020-09-30 |
| 1114534716 | Beth Anne Henson | Social Worker | 2717 Unicorn Ln Nw, Washington, DC 20015-2233 | 2020-09-28 |
| 1588271407 | Andrew Thomas | Social Worker | 801 Pa Ave Se, Washington, DC 20003-2167 | 2020-09-24 |
| 1043826324 | Wellness Reset Solutions LLC | Social Worker | 255 Carroll St Nw Apt 552, Washington, DC 20012-2093 | 2020-09-21 |
| 1487266995 | Martha Johnson | Social Worker | 1555 Connective Ave Nw, #500w, Washington, DC 20036 | 2020-08-18 |
| 1538779863 | Moore Therapeutic and Consulting Services | Social Worker | 1600 Maryland Ave Ne Apt 257, Washington, DC 20002-7662 | 2020-08-02 |
| 1992313266 | Paula Nicole Thomason | Social Worker | 4407 2nd St Ne Apt 2, Washington, DC 20011-5142 | 2020-07-22 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20001 |
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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.