CLIFFORD LEE CLARK (NPI# 1497872246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497872246 |
| Entity Type | Individual |
| Full Name | CLIFFORD LEE CLARK |
| Credential | SWT |
| Practice Address |
2140 E Ellsworth Rd Ann Arbor MI 48108-2552 |
| Mailing Address |
555 Towner St Po Box 915 Ypsilanti MI 48198-5752 |
| Practice Telephone | 7342223586 |
| Practice Fax Number | 7342223461 |
| Mailing Telephone | 7345443000 |
| Mailing Fax Number | 7345446732 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6803081113 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868879 | Clifford Lloyd Clark Jr. | Occupational Therapy Assistant | 501 Esseola Drive, Saluda, NC 28773 | 2019-02-27 |
| 1649711615 | Clifford Jovan Clark | Counselor | 44070 W 12 Mile Rd, Suite 200, Novi, MI 48377-2648 | 2017-03-10 |
| 1770666729 | Clifford P Clark IIi | Plastic Surgery | 701 W Morse Blvd, Winter Park, FL 32789-3731 | 2006-10-23 |
| 1881612653 | Clifford D Clark | Orthopaedic Surgery | 2500 E Prospect Rd, Fort Collins, CO 80525-9718 | 2006-07-18 |
| 1497712434 | Clifford R Clark | Internal Medicine | 5920 Mcintyre St, Golden, CO 80403-7445 | 2006-04-26 |
| Street Address |
2140 E ELLSWORTH RD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-2552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033172242 | Ellen Smith Perricci | Psychiatry & Neurology | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2006-04-10 |
| 1063012359 | Ashley Hagerman | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2020-10-27 |
| 1528624483 | Janet Rich | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2019-05-16 |
| 1649732355 | John Cherette | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2019-04-02 |
| 1396206736 | Kelsey Marie Robinson | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2019-03-28 |
| 1588145528 | Gina K Steffey | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2018-08-28 |
| 1730673005 | Robin Sanderson | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2018-06-19 |
| 1861983942 | Jing Zhang | Counselor | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2018-05-23 |
| 1215426218 | Ashley Marie Holsten-o'bryan | Registered Nurse | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2018-05-04 |
| 1427547843 | Laura Ganzel | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2018-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026128 | Sara Long | Social Worker | 3200 W Liberty Rd # R, Ann Arbor, MI 48103-9746 | 2020-09-04 |
| 1326662313 | Hannah S Kohn | Social Worker | 1312 Brooklyn Ave Unit 2, Ann Arbor, MI 48104-4415 | 2020-06-04 |
| 1043839343 | Melissa Sylvia Danan Rilko | Social Worker | 1775 Timber Trail, Ann Arbor, MI 48103 | 2020-04-16 |
| 1447886569 | Brittney Marie Williams | Social Worker | 2401 Plymouth Rd Ste C, Ann Arbor, MI 48105-2193 | 2020-03-20 |
| 1053875013 | Allie Lyn Vansickle | Social Worker | 2035 Hogback Rd Ste 108, Ann Arbor, MI 48105-9487 | 2019-01-24 |
| 1780192054 | Affinity Counseling Center | Social Worker | 455 E Eisenhower Pkwy Ste 15, Ann Arbor, MI 48108-3321 | 2018-01-19 |
| 1811430895 | Mackenzie Takessian | Social Worker | 2140 E Ellsworth, Ann Arbor, MI 48108 | 2016-11-23 |
| 1972054633 | Amanda Michele Saracino | Social Worker | 12 Metroview Ct, Ann Arbor, MI 48108-2533 | 2016-10-18 |
| 1720437320 | Vanessa Levine-smith | Social Worker | 326 W Liberty St, Ann Arbor, MI 48103-4341 | 2016-06-06 |
| 1689056160 | Lynda Wood | Social Worker | 705 N Zeeb Rd, Ann Arbor, MI 48103-1560 | 2015-06-22 |
| Find all providers in ANN ARBOR | ||||
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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.