ELIZABETH CLARK (NPI# 1477946770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477946770 |
| Entity Type | Individual |
| Full Name | ELIZABETH CLARK |
| Practice Address |
1250 Route 171 Woodstock CT 06281-2127 |
| Practice Telephone | 8607928022 |
| Mailing Telephone | 8607928022 |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
44.001123 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192959 | Elizabeth Grace Clark | Physical Therapist | 1010 Monarch St Ste 150, Lexington, KY 40513-1892 | 2018-08-02 |
| 1548755176 | Elizabeth F Clark | Psychologist | 16 Gleasondale Rd, Stow, MA 01775-1465 | 2018-06-26 |
| 1699217927 | Elizabeth Clark | Counselor | 4200 Ridgecrest Cir Ste A-6, Amarillo, TX 79109-5416 | 2016-11-17 |
| 1346604584 | Elizabeth Ann Clark | Nurse Practitioner | 32 Allen Ct, Staten Island, NY 10310-2703 | 2016-04-13 |
| 1356706543 | Elizabeth Clark | Public Health or Welfare | 295 Broadmeadow Cv, Roswell, GA 30075-2950 | 2015-12-15 |
| 1649674847 | Elizabeth Clark | Nurse Practitioner | 620 19th Street South 5th Floor Spain Wallace P572c, Birmingham, AL 35233-7410 | 2014-10-16 |
| 1851708325 | Elizabeth Clark | Counselor | 52 Oxford St, Somerville, MA 02143-1608 | 2014-07-16 |
| 1932527579 | Elizabeth Anne Clark | Obstetrics & Gynecology | Dept of Ob Gyn Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2014-04-01 |
| 1700187564 | Elizabeth B Clark | Physical Therapist | 155 Siemers Dr Ste 8, Cape Girardeau, MO 63701-4910 | 2010-11-10 |
| 1689989493 | Elizabeth Ann Clark | Pharmacist | 2601 S New Hope Rd, Gastonia, NC 28056-2200 | 2010-08-17 |
| Street Address |
1250 ROUTE 171 |
| City | WOODSTOCK |
| State | CT |
| Zip Code | 06281-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649506445 | Rose Kihara | Nurse Practitioner | 39 Route 171, Woodstock, CT 06281 | 2009-10-29 |
| 1366518771 | Noreen Wallace | Occupational Therapist | 602 Rte 169, Woodstock, CT 06281 | 2006-11-28 |
| 1629168059 | William Shevin | General Practice | 50 Applewood Dr, Woodstock, CT 06281 | 2006-10-14 |
| 1952890105 | Rose Kihara Nurse Practitioner LLC | Clinic/Center | 39 Route 171, Woodstock, CT 06281 | 2018-05-03 |
| 1679759310 | Therapeutic Enterprises Inc. | Occupational Therapist | 602 Route 169, Woodstock, CT 06281 | 2008-01-11 |
| 1093320913 | Lindsay Jean Young | Counselor | 241 Senexet Rd, Woodstock, CT 06281-0628 | 2020-09-09 |
| 1932661709 | Provident Properties LLC | Counselor | 283 Route 169, Woodstock, CT 06281-0628 | 2019-04-02 |
| 1538425871 | Christina Cook | Speech-Language Pathologist | 1774b Route 197, Woodstock, CT 06281-1228 | 2012-04-11 |
| 1659624344 | Quiet Corner Speech & Language LLC | Speech-Language Pathologist | 1774b Route 197, Woodstock, CT 06281-1228 | 2012-10-18 |
| 1780931865 | Deborah Deschamps | Counselor | 46 Lebanon Hill Rd, Woodstock, CT 06281-1324 | 2012-08-08 |
| Find all providers in zip 06281 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952878183 | Darren Michael Lind | Counselor | 128 111th St, Woodstock, MN 56186-1011 | 2018-10-25 |
| 1629562558 | James Brittian Parramore | Counselor | 4390 Earney Rd Ste 140, Woodstock, GA 30188-5687 | 2018-06-14 |
| 1003350372 | Francine Zakiyyah Drewry | Counselor | 231 Weatherstone Pointe Dr, Woodstock, GA 30188-7021 | 2016-12-06 |
| 1043563042 | Ellie Luperon | Counselor | 191 E Quasset Rd, Woodstock, CT 06281-3307 | 2012-10-16 |
| 1861629735 | Gina Maureen Cleveland | Counselor | 417 Ballymore Pass, Woodstock, GA 30189-7418 | 2009-06-17 |
| 1407872229 | Jamie L Jacobs | Counselor | 400 Sycamore Ln, Apt 208, Woodstock, GA 30188-7315 | 2006-07-14 |
| 1790399319 | Northwest Treatment Associates | Counselor | 645 Mchenry Ave, Woodstock, IL 60098-2922 | 2020-09-01 |
| 1760092019 | Michelle Wrayanne Glaze Parker | Counselor | 700 Churchill Ct Ste 110, Woodstock, GA 30188-6880 | 2020-08-02 |
| 1902388432 | Pathlight Counseling LLC | Counselor | 4390 Earney Rd Ste 140, Woodstock, GA 30188-5687 | 2018-08-31 |
| 1962937391 | Michelle Pintado | Counselor | 225 Creekstone Rdg, Woodstock, GA 30188-3744 | 2017-04-24 |
| Find all providers in WOODSTOCK | ||||
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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.