DR. CAROL L CLARK (NPI# 1477606044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477606044 |
| Entity Type | Individual |
| Full Name | DR. CAROL L CLARK |
| Credential | LMHC |
| Practice Address |
11651 W Biscayne Canal Rd Miami FL 33161-6132 |
| Practice Telephone | 3058911827 |
| Mailing Telephone | 3058911827 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH3233 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336520295 | Carol H Clark | Psychologist | 210 Lowry St, Kerrville, TX 78028-5274 | 2015-06-16 |
| 1669656450 | Carol T Clark | Case Management | 300 East Walnut, Suite 200, Pasadena, CA 91101 | 2007-12-28 |
| 1053343681 | Carol Shelby Clark | Occupational Therapist | 1647 Mallory Ln, Suite 103, Brentwood, TN 37027-2909 | 2006-07-06 |
| 1649734310 | Carol Riley Clark | Pharmacist | 621 Commerce St, Earle, AR 72331-1616 | 2019-01-28 |
| 1265938302 | Carol Clark | Counselor | 2311 E 98th St, Chicago, IL 60617-4842 | 2018-04-05 |
| 1215441936 | Carol Clark | Case Manager/Care Coordinator | 1095 Sugarview Dr, Sheridan, WY 82801-5386 | 2017-11-17 |
| 1255783940 | Carol Clark | Social Worker | 3125 Poplarwood Ct, Raleigh, NC 27604-1084 | 2016-07-06 |
| 1235503004 | Carol Jones Clark | Speech-Language Pathologist | 550 Roselawn Ave E, Maplewood, MN 55117-2120 | 2015-11-17 |
| 1790192144 | Carol Clark | Massage Therapist | 10 N Roselle Rd, Roselle, IL 60172-1592 | 2014-07-17 |
| 1528484466 | Carol Clark | Social Worker | 1701 White St, Mccomb, MS 39648-2711 | 2014-03-17 |
| Street Address |
11651 W BISCAYNE CANAL RD |
| City | MIAMI |
| State | FL |
| Zip Code | 33161-6132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609365907 | Silvia Maria Sanchez Del Campo | General Practice | 412-436 Ne 125th St, North Miami, FL 33161 | 2018-05-02 |
| 1841718806 | Christina Collier | Student in an Organized Health Care Education/Training Program | 12046 Ne 16th Ave, Apt. 5105, Miami, FL 33161 | 2017-08-30 |
| 1477076768 | Mariline Suit | Assisted Living Facility | 960 Ne 136 Street, North Miami, FL 33161 | 2017-07-19 |
| 1588186910 | Virtuous Care & Staffing, Inc. | In Home Supportive Care | 1525 Ne 136th Street, Miami, FL 33161 | 2017-07-07 |
| 1881043222 | Elitane Rinville | Counselor | 11422 Ne 13 Ave., Miami, FL 33161 | 2016-06-07 |
| 1992183529 | India Bass | Counselor | 12635 Ne Miami Ct, North Miami, FL 33161 | 2015-05-14 |
| 1659775781 | Loralei Ann Magadia Parchejo | Pharmacy Technician | 173 Ne 108th St, Miami Shores, FL 33161 | 2014-10-17 |
| 1912307513 | Louise Marjori Paul | Nurse Practitioner | 1190 N.w. 125th Street, Chen Medical North Miami (125th), North Miami, FL 33161 | 2014-09-02 |
| 1598185860 | Institute of Wholistic Empowerment | Counselor | 1065 Ne 125 Street, Suite 317a, North Miami, FL 33161 | 2014-04-24 |
| 1689095689 | Sandra Batista | Counselor | 11031 Ne 6th Avenue, Miami, FL 33161 | 2013-12-18 |
| Find all providers in zip 33161 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700564 | Kristyn Delgado | Counselor | 8331 Sw 37th St, Miami, FL 33155-3305 | 2020-11-02 |
| 1164022737 | Natalia Azucena | Counselor | 10832 Sw 88th St Apt U7, Miami, FL 33176-1390 | 2020-10-31 |
| 1225638513 | Maria Emilia Espinal Fuchs | Counselor | 11434 Sw 152nd Ct, Miami, FL 33196-5215 | 2020-10-27 |
| 1083212427 | Jadira Lynette Fernandez | Counselor | 10035 Sw 80th Ter, Miami, FL 33173-4001 | 2020-10-16 |
| 1386243715 | Neelam Parmar | Counselor | 41 Se 5th St Apt 1404, Miami, FL 33131-2546 | 2020-10-16 |
| 1144837287 | Rico Counseling Corp | Counselor | 10689 Sw 88th St Ste 305, Miami, FL 33176-1525 | 2020-09-23 |
| 1386250892 | Teresa Zubizarreta | Counselor | 13253 Sw 110th Ter Apt 2, Miami, FL 33186-4394 | 2020-09-20 |
| 1255946307 | Camilla Tamargo | Counselor | 7396 Sw 53rd Pl, Miami, FL 33143-5823 | 2020-09-14 |
| 1417569500 | Isabel Galloso Diaz | Counselor | 15279 Sw 134th Ct Apt 1206, Miami, FL 33177-1181 | 2020-08-19 |
| 1821608605 | Adriana Loredo | Counselor | 2324 Sw 82nd Ct, Miami, FL 33155-1247 | 2020-08-05 |
| Find all providers in MIAMI | ||||
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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.