CHERYL CLARK (NPI# 1518418045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518418045 |
| Entity Type | Individual |
| Full Name | CHERYL CLARK |
| Practice Address |
1644 B Carter Suite 2 Vidalia LA 71373 |
| Practice Telephone | 3184143065 |
| Practice Fax Number | 3184143067 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225206121 | Cheryl Clark | Speech-Language Pathologist | 75 Gilcreast Rd Unit 201, Londonderry, NH 03053-3564 | 2008-02-13 |
| 1881150613 | Cheryl Clark | Physical Therapy Assistant | 5721 Grosvenor Ln, Bethesda, MD 20814-1833 | 2019-02-18 |
| 1356829857 | Cheryl K Clark | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-08-06 |
| 1881927523 | Cheryl Beth Clark | Social Worker | 431 Grove St N, Suite E, Dahlonega, GA 30533-0437 | 2009-09-14 |
| 1558509919 | Cheryl Clark | Registered Nurse | 1604 Visa Dr Ste 1, Normal, IL 61761-2195 | 2009-01-23 |
| 1700044856 | Cheryl Clark | Speech-Language Pathologist | 510 Carpenter Ave, Mooresville, NC 28115-2512 | 2008-05-27 |
| 1922135854 | Cheryl Louise Clark | Speech-Language Pathologist | 505 S Main St, Suite 249, Las Cruces, NM 88001-1206 | 2007-02-27 |
| 1669515227 | Cheryl Catherine Clark | Counselor | 1 Washington St, Taunton, MA 02780-3960 | 2007-02-14 |
| 1588744932 | Cheryl Clark | Nurse Practitioner | 3713 Richfield Rd, Greensboro, NC 27410-2111 | 2006-10-17 |
| 1366530644 | Cheryl L Clark | Family Medicine | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2006-10-11 |
| Street Address |
1644 B CARTER SUITE 2 |
| City | VIDALIA |
| State | LA |
| Zip Code | 71373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513494 | Total Urgent Care | Clinic/Center | 4014 Carter Street, Vidalia, LA 71373 | 2020-03-13 |
| 1609412097 | Hulin Urgent Care Services, LLC | Clinic/Center | 4319 Highway 84, Vidalia, LA 71373 | 2019-11-21 |
| 1720562556 | Neashion Marie Davis | Counselor | 1644 B Carter Street. Suite #2, Vidalia, LA 71373 | 2018-09-18 |
| 1992292403 | Angelica Francheska Woods | Counselor | 1644 B. Carter Street Suite 2, Vidalia, LA 71373 | 2018-04-19 |
| 1164973780 | Linda Sherbia | Counselor | 1644 B Carter St., Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1972054500 | Sherry Cade | Counselor | 1644 B Carter Street, Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1457801136 | Sarai Johnson | Counselor | 1644 B Carter Street Suite 2, Vidalia, LA 71373 | 2016-10-06 |
| 1053766410 | Erin Fournet Woodruff | Physical Therapist | 402 Holly Street, Vidalia, LA 71373 | 2016-05-04 |
| 1184084113 | Troy Nolan Thomas Jr. | Counselor | 4012 Carter St., Vidalia, LA 71373 | 2016-03-03 |
| 1184081853 | Breanna Walker | Case Manager/Care Coordinator | 1644 B Carter Street, Vidalia, LA 71373 | 2016-01-26 |
| Find all providers in zip 71373 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184081853 | Breanna Walker | Case Manager/Care Coordinator | 1644 B Carter Street, Vidalia, LA 71373 | 2016-01-26 |
| 1487025953 | Felicia Bowman | Case Manager/Care Coordinator | 4012 Carter Street, Vidalia, LA 71373 | 2015-10-09 |
| 1326653536 | Colton Davis | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2020-09-14 |
| 1437764651 | Shelby Holsted | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2020-09-14 |
| 1114537826 | Lasheka Coleman Eanochs | Case Manager/Care Coordinator | 4012 Carter St, Vidalia, LA 71373-3013 | 2020-08-06 |
| 1730798547 | Valesha Johnson | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2020-07-28 |
| 1528677804 | Kenya Simmons | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2020-07-23 |
| 1477176733 | Danielle Spencer | Case Manager/Care Coordinator | 806 Carter St, Vidalia, LA 71373-3206 | 2020-05-21 |
| 1841826070 | April Frost | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2020-03-19 |
| 1134753502 | Tyshica Rodgers | Case Manager/Care Coordinator | 1109 Carter St Ste 10, Vidalia, LA 71373-3227 | 2020-02-25 |
| Find all providers in VIDALIA | ||||
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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.