MS. ANDREA CLARK (NPI# 1477593580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477593580 |
| Entity Type | Individual |
| Full Name | MS. ANDREA CLARK |
| Credential | LCSW |
| Practice Address |
120 W 57th St 8th Floor New York NY 10019-3320 |
| Practice Telephone | 2126324674 |
| Practice Fax Number | 2126324495 |
| Mailing Telephone | 2126324674 |
| Mailing Fax Number | 2126324495 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
069627-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982182309 | Andrea K Clark | Occupational Therapist | 920 Goldenrod Ln, Hickman, NE 68372-9509 | 2018-07-30 |
| 1407238660 | Andrea Clark | Contractor | 2300 Seaman St, Apt. 101, Toledo, OH 43605-1952 | 2015-06-24 |
| 1114359049 | Andrea Clark | Physical Therapist | 531 Madison St, Albany, CA 94706-1116 | 2013-08-02 |
| 1003124223 | Andrea Nicole Clark | Licensed Practical Nurse | 9869 State Route 141, Kitts Hill, OH 45645-8649 | 2010-09-22 |
| 1295057362 | Andrea Serina Clark | Speech-Language Pathologist | 7497 Oak Tree Ln, Spring Hill, FL 34607-2324 | 2010-02-17 |
| 1336369602 | Andrea Walser Clark | Counselor | 157 Walser Way, Advance, NC 27006-7341 | 2007-04-27 |
| 1912034596 | Andrea Rachele Clark | Psychologist | 1818 W Lindsey St Ste C120, Norman, OK 73069-4169 | 2007-02-28 |
| 1558999672 | Andrea Clark | Registered Nurse | 1155 Dairy Ashford Rd Ste 560, Houston, TX 77079-3035 | 2020-04-01 |
| 1306359948 | Andrea Clark | Counselor | 10 Southard St, Trenton, NJ 08609-1020 | 2017-11-06 |
| 1861937989 | Andrea Clark | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2016-12-28 |
| Street Address |
120 W 57TH ST 8TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952714743 | Melanie Hong | Student in an Organized Health Care Education/Training Program | 120 W 57th St, New York, NY 10019-3320 | 2014-06-09 |
| 1902219488 | Brooke Marlin | Student in an Organized Health Care Education/Training Program | 120 W 57th St, New York, NY 10019-3320 | 2014-06-03 |
| 1568875045 | Elizabeth Scholom | Student in an Organized Health Care Education/Training Program | 120 W 57th St, New York, NY 10019-3320 | 2014-06-03 |
| 1346574639 | Patrice Carlotta Ryce | Psychologist | 120 W 57th St, 11th Floor, New York, NY 10019-3320 | 2009-09-20 |
| 1386977403 | Sara Petrasso | Psychologist | 120 W 57th St, 10th Floor, New York, NY 10019-3320 | 2009-09-08 |
| 1285967307 | Rachel Ellen Gorman | Psychologist | 120 W 57th St, 10th Floor, New York, NY 10019-3320 | 2009-09-08 |
| 1790916930 | Zoya B Cheskiy | Social Worker | 120 W 57th St, New York, NY 10019-3320 | 2009-08-05 |
| 1568691582 | Meredith Guberman | Social Worker | 120 W 57th St, New York, NY 10019-3320 | 2009-07-12 |
| 1235366188 | Limor Bukspan | Social Worker | 120 W 57th St, 11th Floor, New York, NY 10019-3320 | 2009-06-18 |
| 1073768636 | Laura Ann Araman | Social Worker | 120 W 57th St, New York, NY 10019-3320 | 2008-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1336794486 | Olivia Mandelbaum | Psychologist | Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 | 2019-08-06 |
| 1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
| 1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
| 1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
| 1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
| 1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
| 1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
| Find all providers in zip 10019 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013191 | Clinicians of The Diaspora, LLC | Counselor | 203 W 117th St Apt 3e, New York, NY 10026-2139 | 2020-11-04 |
| 1730789389 | Willam Bernard Feehan | Counselor | 14 Sutton Pl S Apt 3b, New York, NY 10022-3109 | 2020-10-31 |
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1801496237 | Vivian Martinez | Counselor | 200 W 108th St Apt 3f, New York, NY 10025-2947 | 2020-10-26 |
| 1124627989 | Sable Tempest Sweeper | Counselor | 31 West 34th Street, 7th Floor #7058, New York, NY 10001 | 2020-10-22 |
| 1083213144 | Isaiah David Putman | Counselor | 236 W 64th St Apt 2h, New York, NY 10023-6433 | 2020-10-20 |
| 1790383826 | Iris M Canales | Counselor | Gusatave L Levy Place, Mount Sinai Hospital, New York, NY 10029-6574 | 2020-10-12 |
| 1508463860 | Marley S Moreira-rivera | Counselor | 2578 Broadway # 507, New York, NY 10025-5642 | 2020-10-08 |
| 1629675194 | Colombage Asha De Costa | Counselor | 106 Fort Washington Ave Apt 3k, New York, NY 10032-4723 | 2020-10-07 |
| 1497352603 | Arlene Pineda | Counselor | 303 5th Ave Fl 14, New York, NY 10016-6601 | 2020-10-01 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on MS. ANDREA 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.