KEVIN P. CLARK SR. (NPI# 1497376958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497376958 |
Entity Type | Individual |
Full Name | KEVIN P. CLARK SR. |
Credential | LCSW-R |
Practice Address |
30 Harriman Dr Goshen NY 10924-2410 |
Practice Telephone | 8452912142 |
Mailing Telephone | 8452912142 |
Enumeration Date | 2020-05-06 |
Last Update Date | 2020-05-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
R-049202-1 | NY | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598294001 | Kevin John Clark | Chiropractor | 2815 83rd St, Darien, IL 60561-1660 | 2017-06-08 |
1124402516 | Kevin Michael Clark | Dentist | 8 Inwood Peak, San Antonio, TX 78248-1654 | 2015-07-15 |
1275976276 | Kevin P Clark | Pharmacist | 215 Sixth Street, Hotchkiss, CO 81419-0928 | 2013-04-10 |
1265736508 | Kevin Clark | Acupuncturist | 415 Route 34, Suite 210, Colts Neck, NJ 07722-2522 | 2010-12-30 |
1033361381 | Kevin Dewitt Clark | Acupuncturist | 130 N Dixie Hwy, Hollywood, FL 33020-6704 | 2008-10-17 |
1891859278 | Kevin Landis Clark | Optometrist | 10415 Gateway Blvd W, El Paso, TX 79925-7905 | 2006-12-20 |
1609934397 | Kevin John Clark | Counselor | 251 E 5th St, Brooklyn, NY 11218-2403 | 2006-12-05 |
1912947144 | Kevin Grafton Clark | Optometrist | 5310 Highway 25, Suite 5, Flowood, MS 39232-6148 | 2006-06-07 |
1235127291 | Kevin N Clark | Surgery | 425 Medical Dr, Ste 101, Bountiful, UT 84010-4945 | 2005-10-12 |
1245851104 | Kevin Clark | Counselor | 3929 Old Lee Hwy Ste 92c, Fairfax, VA 22030-2421 | 2020-05-01 |
Street Address |
30 HARRIMAN DR |
City | GOSHEN |
State | NY |
Zip Code | 10924-2410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336324409 | County of Orange | Clinic/Center | 30 Harriman Dr, Goshen, NY 10924-2410 | 2008-01-08 |
1447806195 | Shayna French | Social Worker | 30 Harriman Dr, Goshen, NY 10924-2410 | 2019-08-16 |
1346616497 | Angela Turk | Social Worker | 30 Harriman Dr, Goshen, NY 10924-2410 | 2015-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487127239 | Yessica Amadis | Counselor | 27 Matthews Street, Goshen, NY 10924 | 2019-01-04 |
1649752668 | Lucinda Figueroa | Social Worker | Orange Intensive Day Treatment @ Ouboces Ah Ed Center, 4 Harriman Drive, Goshen, NY 10924 | 2018-09-06 |
1619499365 | Grace Catherine Stieh | Speech-Language Pathologist | 1997 Ny-17m #9, Goshen, NY 10924 | 2017-07-14 |
1255738902 | Linda S. Miller | Behavioral Analyst | 60 Erie Street #6, Suite 304, Goshen, NY 10924 | 2014-11-24 |
1275963894 | Ellen Martin | Speech-Language Pathologist | 9a Maplewood Terrace, Goshen, NY 10924 | 2013-11-18 |
1578803854 | Shirley Johnson | Social Worker | 3 Hatfield Lane Valley Behavioral Medicine, Suite 1, Goshen, NY 10924 | 2013-02-22 |
1689933566 | Gloria Sanabria | Licensed Practical Nurse | 252 Main St., Wellness Home Care, Goshen, NY 10924 | 2012-05-11 |
1780955377 | Karen Ann Walczak | Registered Nurse | 56 Gibson Rd., Goshen, NY 10924 | 2012-01-13 |
1699067884 | Cherie Lee Meci | Occupational Therapy Assistant | 52 Gibson Rd., Rcce, Goshen, NY 10924 | 2011-05-06 |
1053617597 | James Francis Kohut | Social Worker | Rcpc 53 Gibson Road, Goshen, NY 10924 | 2011-02-01 |
Find all providers in zip 10924 |
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 |
---|---|---|---|---|
1700484912 | Nicolette Grace Capocciamo | Social Worker | 2002 Route 17m Ste 10, Goshen, NY 10924-5236 | 2020-10-12 |
1942860341 | Elora L Kalish Lcsw Psychotherapy Pllc | Social Worker | 25 Main St Ste 2-2, Goshen, NY 10924-2144 | 2019-06-18 |
1649752668 | Lucinda Figueroa | Social Worker | Orange Intensive Day Treatment @ Ouboces Ah Ed Center, 4 Harriman Drive, Goshen, NY 10924 | 2018-09-06 |
1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
1689185266 | Catherine Vlasto | Social Worker | 222 Beach St, Goshen, CT 06756-2306 | 2017-10-23 |
1821443060 | Katherine Olaya Compitus | Social Worker | 174 Conklingtown Rd, Goshen, NY 10924-5621 | 2016-04-25 |
1659773398 | Jennifer M Smith | Social Worker | 3 Hatfield Lane -, Suite 1, Goshen, NY 10924-6732 | 2014-09-25 |
1659796829 | Dawn Mccandless | Social Worker | 58512 Old County Road 17, Goshen, IN 46528-8464 | 2014-02-25 |
1134560022 | Deborah Jean Hession | Social Worker | 244 Greenwich Ave, Goshen, NY 10924-2015 | 2013-07-09 |
1578803854 | Shirley Johnson | Social Worker | 3 Hatfield Lane Valley Behavioral Medicine, Suite 1, Goshen, NY 10924 | 2013-02-22 |
Find all providers in GOSHEN |
Please comment or provide details below to improve the information on KEVIN P. CLARK SR..
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.