MARLA J CLARK (NPI# 1508881863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508881863 |
| Entity Type | Individual |
| Full Name | MARLA J CLARK |
| Credential | LCSW |
| Practice Address |
1220 Dewey Ave Wauwatosa WI 53213-2504 |
| Mailing Address |
2246 N 65th St Wauwatosa WI 53213-2034 |
| Practice Telephone | 4144546600 |
| Mailing Telephone | 4147748516 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 7258-123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43592500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831593128 | Marla Clark | Registered Nurse | 6558 Lubarrett Way, Mobile, AL 36695-3825 | 2014-10-15 |
| 1720649148 | Marla Clark | Licensed Practical Nurse | 4330 Elmore Rd, Anchorage, AK 99508-5907 | 2019-06-26 |
| 1912241381 | Marla D Clark | Pharmacist | 799 Truse Pkwy, Memphis, TN 38117-5354 | 2012-11-24 |
| Street Address |
1220 DEWEY AVE |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53213-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083696736 | Ikar Jaksa Kalogjera | Psychiatry & Neurology | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2005-11-17 |
| 1407464118 | Geoffrey B Watters | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2020-07-20 |
| 1497381818 | Frances Clouse | Pharmacist | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2020-03-17 |
| 1851939623 | Kathleen Grace Barnes | Physician Assistant | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-12-12 |
| 1952951402 | Christine D Schubring | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-09-17 |
| 1043864242 | Brooke E Muggenthaler | Counselor | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-07-26 |
| 1225510001 | Reuel Kagamba Muiruri | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-08-29 |
| 1437638830 | Lori L Unger | Registered Nurse | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-08-07 |
| 1033697644 | Christine S Schultz | Social Worker | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-08-06 |
| 1205335957 | Ivana Spaciel | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682473 | Tracy A Bolton | Nurse Practitioner | 2626 N 76th St Ste 101, Wauwatosa, WI 53213 | 2018-09-11 |
| 1609309129 | Anupriya Dayal | Student in an Organized Health Care Education/Training Program | 7700 Portland Avenue, #227, Milwaukee, WI 53213 | 2017-04-11 |
| 1407202666 | Michael Lenz | Dentist | 1221 N 62nd Street, 201, Wauwatosa, WI 53213 | 2016-05-06 |
| 1164807889 | Myia Mitchell | Massage Therapist | 6012 W. North Avenue, Milwaukee, WI 53213 | 2015-07-23 |
| 1518369420 | Rachel Rakow | Speech-Language Pathologist | 1009 N 92nd St, Wauwatosa, WI 53213 | 2014-09-23 |
| 1821348335 | Mary Kathryn Maxey | Dietitian, Registered | 1515 Mower Court, Wauwatosa, WI 53213 | 2012-09-12 |
| 1134478506 | Andrea Brooke Moosreiner | Dietitian, Registered | 7220 Milwaukee Ave, Wauwatosa, WI 53213 | 2012-08-31 |
| 1467726075 | Stephanie Miller | Social Worker | 2618 N 61st St, Milwaukee, WI 53213 | 2012-02-28 |
| 1396013447 | Ng Enterprise, Inc. | Home Health | 7635 West Bluemound Road, Suite 1b, Milwaukee, WI 53213 | 2011-12-05 |
| 1184908162 | Lisa Anne Behlmer | Pharmacist | 6600 W. State St, Wauwatosa, WI 53213 | 2011-10-07 |
| Find all providers in zip 53213 | ||||
| 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 |
|---|---|---|---|---|
| 1003435249 | Margaret Anne Nealon | Social Worker | 1561 N 120th St, Wauwatosa, WI 53226-3107 | 2020-04-08 |
| 1700134616 | Jeanne Olinda Kozlovsky | Social Worker | 10335 W Glendale Ave, Wauwatosa, WI 53225-4634 | 2012-08-27 |
| 1467626879 | Crystal D. Simpson | Social Worker | 3015 N. 114th St., Wauwatosa, WI 53222 | 2008-04-16 |
| 1730146432 | Judith A Toor | Social Worker | 2505 N Mayfair Rd Ste 219, Wauwatosa, WI 53226-1404 | 2006-04-27 |
| 1669016408 | Christine Marie Krzyston | Social Worker | 10045 W Lisbon Ave, Wauwatosa, WI 53222-2446 | 2019-11-05 |
| 1427522481 | Kyrie Larcher | Social Worker | 10045 W Lisbon Ave, Wauwatosa, WI 53222-2446 | 2019-01-13 |
| 1962939504 | John Edwin Troast | Social Worker | 2600 N Mayfair Rd, Wauwatosa, WI 53226-1309 | 2017-05-14 |
| 1700121647 | Jodi Lynn Bertschinger | Social Worker | 10045 W Lisbon Ave, Wauwatosa, WI 53222-2446 | 2012-12-04 |
| 1164654794 | Stacy Lynn Gaertner | Social Worker | 2300 N Mayfair Rd, Suite 425, Wauwatosa, WI 53226-1505 | 2009-08-16 |
| 1689809337 | Aimee Susanne Hay | Social Worker | 10045 W Lisbon Ave, 221, Wauwatosa, WI 53222-2446 | 2009-05-26 |
| Find all providers in WAUWATOSA | ||||
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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.