DONNA MARIE CLARK (NPI# 1467901314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467901314 |
| Entity Type | Individual |
| Full Name | DONNA MARIE CLARK |
| Credential | LPC |
| Practice Address |
104 N Park Ave Coatesville PA 19320-2836 |
| Practice Telephone | 4843400525 |
| Mailing Telephone | 4843400525 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC002505 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982059978 | Donna Rae Clark | Licensed Practical Nurse | 3097 Pondview Dr, Ravenna, OH 44266-9051 | 2016-04-27 |
| 1972920569 | Donna Alice Clark | Social Worker | 3007 N. Saginaw Rd., Midmichigan Home Care, Midland, MI 48640 | 2014-03-21 |
| 1215353743 | Donna Patricia Clark | Nurse Practitioner | 12388 Warwick Blvd Ste 302, Newport News, VA 23606-3858 | 2014-03-07 |
| 1104832617 | Donna M Clark | Registered Nurse | 130 Cedar Rd Ste 200, Vista, CA 92083-5102 | 2006-08-01 |
| 1730637109 | Donna Clark | Social Worker | 294 W State Route 89a, Cottonwood, AZ 86326-3754 | 2016-09-14 |
| 1659675866 | Donna Clark | Specialist | 718 S State St, Clarks Summit, PA 18411-1749 | 2011-01-03 |
| 1720318140 | Donna Marie Clark | Nurse Practitioner | 110 Francis St, Suite 6e, Boston, MA 02215-5501 | 2010-01-07 |
| 1588812598 | Donna C Clark | Audiologist | 2950 Cullen Blvd, Ste. 202, Pearland, TX 77584-3921 | 2008-09-03 |
| 1093849879 | Donna Lee Clark | Pharmacist | 124 Main St, Man Pharmacy, Man, WV 25635-1212 | 2007-03-15 |
| 1639211949 | Donna Clark | Marriage & Family Therapist | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2007-02-13 |
| Street Address |
104 N PARK AVE |
| City | COATESVILLE |
| State | PA |
| Zip Code | 19320-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029306 | Ara Dadivanyan | Psychiatry & Neurology | 201 Reeceville Rd., Brandywine Hospital, Coatesville, PA 19320 | 2020-07-01 |
| 1669098919 | Sara Mostafa | Psychiatry & Neurology | Brandy Wine Hospital, 201 Reeceville Rd, Coatesville, PA 19320 | 2020-06-23 |
| 1225654072 | Laurie Bond | Counselor | 774 East Lincoln Highway, Coatesville, PA 19320 | 2020-06-17 |
| 1356964506 | Timothy Robert Derosa | Psychiatry & Neurology | Brandywine Hospital 201 Reeceville Rd., Coatesville, Pa, PA 19320 | 2020-05-22 |
| 1184264632 | Evolve Individual Services, LLC | Counselor | 135 E Chestnut St, 204, Coatesville, PA 19320 | 2020-01-13 |
| 1649824111 | Angela Lynne Sylvina | Social Worker | 1825 E Lincoln Highway, Coatesville, PA 19320 | 2019-08-01 |
| 1629540257 | Rhonda Jean Sanford | Social Worker | Coatesville Vamc, Attn: Rhonda Sanford, Lcsw, 1400 Blackhorse Hill Rd, Bldg 57, Rm 227, Coatesvillle, PA 19320 | 2018-12-20 |
| 1528540499 | Jetquatta Parker | Licensed Practical Nurse | 786 Coates St, Coatesville, PA 19320 | 2018-09-06 |
| 1639608052 | Shafkat Hussain | Pharmacist | 800 East Lincoln Highway, Coatesville, PA 19320 | 2017-06-08 |
| 1790222032 | Elizabeth Barnett | Counselor | 2034crest Dr, Coatesville, PA 19320 | 2017-01-25 |
| Find all providers in zip 19320 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225654072 | Laurie Bond | Counselor | 774 East Lincoln Highway, Coatesville, PA 19320 | 2020-06-17 |
| 1750901575 | Chrystal Kirby | Counselor | 125 Dague Farm Dr, Coatesville, PA 19320-5832 | 2020-04-22 |
| 1720485790 | Matthew Benko | Counselor | 1400 Blackhorse Hill Rd., Coatesville, PA 19320-2096 | 2014-11-19 |
| 1558626143 | Carol M Shuler | Counselor | 412 Flagstone Cir, Coatesville, PA 19320-1682 | 2012-07-10 |
| 1003111253 | Paul Todd Hansel | Counselor | 1052 Merchant St, Coatesville, PA 19320-3393 | 2011-01-20 |
| 1760037196 | Tracy Freitas | Counselor | 1825 E Lincoln Hwy, Coatesville, PA 19320-2407 | 2019-08-02 |
| 1053873166 | Fabiano Muner | Counselor | 744 E Lincoln Hwy Ste 420, Coatesville, PA 19320-3590 | 2019-04-05 |
| 1407330756 | Limitless Minds, A Brighter Direction, LLC | Counselor | 631 Walnut St, Coatesville, PA 19320-3622 | 2018-09-23 |
| 1932601366 | Jenette Marie Fremuth | Counselor | 744 E Lincoln Hwy Ste 420, Coatesville, PA 19320-3590 | 2018-03-01 |
| 1669984746 | Laura Ann Kauffman | Counselor | 744 E Lincoln Hwy Ste 420, Coatesville, PA 19320-3590 | 2017-10-30 |
| Find all providers in COATESVILLE | ||||
| City | COATESVILLE |
| Zip Code | 19320 |
Please comment or provide details below to improve the information on DONNA MARIE 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.