CHARLES E CLARK III (NPI# 1568971653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568971653 |
| Entity Type | Individual |
| Full Name | CHARLES E CLARK III |
| Credential | MSW, LSW |
| Practice Address |
255 Main Street St. Clairsville OH 43950 |
| Mailing Address |
Po Box 118 Saint Clairsville OH 43950-0118 |
| Practice Telephone | 7406959447 |
| Mailing Telephone | 7406959447 |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940753 | Charles Patrick Clark | Physician Assistant | 6621 Fannin St, Houston, Houston, TX 77030 | 2019-03-08 |
| 1013485713 | Charles Nicholson Clark | Nurse Practitioner | 1331 Bandera Hwy Ste 4, Kerrville, TX 78028-9535 | 2018-11-12 |
| 1649680406 | Charles Amos Clark | Internal Medicine | Vanderbilt University Dept of Medicine, D-3100, Medical Center North, Nashville, TN 37232 | 2014-05-02 |
| 1124301106 | Charles Malcolm Clark Jr. | Internal Medicine | 2802 Lafayette Road Suite 13, Eagledale Health Center, Indianapolis, IN 46222-2112 | 2011-09-26 |
| 1811290935 | Charles Warren Clark Jr. | Massage Therapist | 19577 Fm 2854 Rd, Montgomery, TX 77316-3150 | 2010-12-11 |
| 1780913640 | Charles S Clark | Physician Assistant | Bldg. H 2005 Knight Lane Attn: Medical Staff Services, Navy Medicine Support Command, Jacksonville, FL 92055-0140 | 2009-12-23 |
| 1083866222 | Charles Larry Clark Jr. | Dentist | 2415 Gillionville Rd, Albany, GA 31707-3022 | 2008-10-21 |
| 1689826984 | Charles John Clark | Pharmacist | 203 So. Daisy, Salmon, ID 83467 | 2008-10-17 |
| 1164642948 | Charles Robert Clark | Family Medicine | 1725 N Sky Glen Path, Hernando, FL 34442-6187 | 2007-04-26 |
| 1093722902 | Charles Kevin Clark | Physical Therapist | 10214 N Tatum Blvd, Suite B-500, Phoenix, AZ 85028-4224 | 2006-08-02 |
| Street Address |
255 MAIN STREET |
| City | ST. CLAIRSVILLE |
| State | OH |
| Zip Code | 43950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346728714 | Katrina Connell | Counselor | 255 Main Street, St. Clairsville, OH 43950 | 2018-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212450 | Sharon Jackson | In Home Supportive Care | 52410 Summit Avenue, St. Clairsville, OH 43950 | 2020-10-16 |
| 1326657891 | Taylor Gorby | Behavior Technician | 1 Halloran Dr, St. Clairsville, OH 43950 | 2020-07-30 |
| 1023627247 | Madison Emery | Behavior Technician | 1 Holloran Drive, St Clairsville, OH 43950 | 2020-07-23 |
| 1821633439 | Jerri Mccombs | Clinical Nurse Specialist | 71200and1/2 Kagg Hill Rd, St Clairsville, OH 43950 | 2019-11-07 |
| 1053978817 | Mariah Lynn Hamilton | Behavior Technician | 1 Halloran Lane, St. Clairsville, OH 43950 | 2019-05-28 |
| 1083184717 | Maria Suzanne Shane | Behavior Technician | 1 Halloran Ln, Saint Clairsville, OH 43950 | 2018-11-26 |
| 1023592201 | Natisha Janelle Greathouse | Behavior Technician | 1 Halloran Park Lane, St Clairsville, OH 43950 | 2018-09-24 |
| 1285111039 | Bethany A Dawson | Dietitian, Registered | 66670 Anna Dr, Saint Clairsville, OH 43950 | 2018-07-24 |
| 1073004776 | Marsha M Woods | Social Worker | 67925 Bayberry Drive, Suite A, St. Clairsville, OH 43950 | 2018-05-29 |
| 1104314657 | Jorja L Johnson | Case Manager/Care Coordinator | 67925 Bayberry Dr Ste 700, Saint Clairsville, OH 43950 | 2018-04-30 |
| Find all providers in zip 43950 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346728714 | Katrina Connell | Counselor | 255 Main Street, St. Clairsville, OH 43950 | 2018-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093254 | Innovative Wellness LLC | Counselor | 4985 Smoketalk Ln, Westerville, OH 43081-4432 | 2020-11-03 |
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1215537493 | Christine Moran | Counselor | 3092 W 155th St, Cleveland, OH 44111-1029 | 2020-10-28 |
| 1790384220 | Ron Lee Ward | Counselor | 950 E Alex Bell Rd Ste 100, Centerville, OH 45459-2721 | 2020-10-26 |
| 1669071023 | Tyra S Rice | Counselor | 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 | 2020-10-18 |
| 1669070033 | Charismata Counseling LLC | Counselor | 2670 N Columbus St Ste 0, Lancaster, OH 43130-8408 | 2020-10-16 |
| 1467050427 | Sonia Buhrer Bowen | Counselor | 475 E Mound St, Columbus, OH 43215-5573 | 2020-10-13 |
| 1750989737 | Renea Yvonne Jagel | Counselor | 4711 Nebraska Ave, Huber Heights, OH 45424-6003 | 2020-10-13 |
| 1114524741 | Amanda Jo Sharp | Counselor | 500 Lehman Ave Ste 100, Bowling Green, OH 43402-3068 | 2020-10-06 |
| 1689271546 | Laura Frericks | Counselor | 4577 Frederick Pike Apt D, Dayton, OH 45414-3940 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | ST. CLAIRSVILLE |
| Zip Code | 43950 |
Please comment or provide details below to improve the information on CHARLES E CLARK III.
| 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.