LORENE CLARK (NPI# 1578004065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578004065 |
| Entity Type | Individual |
| Full Name | LORENE CLARK |
| Practice Address |
3100 E 45th St Ste 438 Cleveland OH 44127 |
| Mailing Address |
4111 Linnell Rd South Euclid OH 44121-2728 |
| Practice Telephone | 2162131862 |
| Practice Fax Number | 4408488372 |
| Mailing Telephone | 2166825257 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2019-06-24 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6753 State Rd, Parma, OH 441344517 | 4403453015 |
| Street Address |
3100 E 45TH ST STE 438 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724265 | Khalita Tahzeeb | Case Manager/Care Coordinator | 3100 E 45th St Ste 438, Cleveland, OH 44127-1095 | 2020-09-14 |
| 1710510193 | Danielle Davis | Counselor | 3100 E 45th St Ste 438, Cleveland, OH 44127-1095 | 2020-02-13 |
| 1831736925 | Ashley Jones | Counselor | 3100 E 45th St Ste 438, Cleveland, OH 44127-1095 | 2019-12-08 |
| 1295386555 | Restoring Hope Behavioral Health Services LLC | Community/Behavioral Health | 3100 E 45th St Ste 438, Cleveland, OH 44127-1095 | 2019-09-26 |
| 1528613411 | Jason Anthony Joseph Bulgin Sr. | Counselor | 3100 E 45th St Ste 438, Cleveland, OH 44127-1095 | 2019-08-07 |
| 1346809134 | Life Enhancement Service LLC | Community/Behavioral Health | 3100 E 45th St Ste 438, Cleveland, OH 44127-1095 | 2019-06-06 |
| 1659936714 | Cordale Scott | Counselor | 3100 E 45th St Ste 438, Cleveland, OH 44127-1095 | 2019-05-04 |
| 1104489053 | Romero Rhone | Counselor | 3100 E 45th St Ste 438, Cleveland, OH 44127-1095 | 2019-04-17 |
| 1184186835 | Travis Dartanion Freeman | Counselor | 3100 E 45th St Ste 438, Cleveland, OH 44127-1095 | 2019-04-02 |
| 1699233387 | Carrington Dammons | Counselor | 3100 E 45th St Ste 438, Cleveland, OH 44127-1095 | 2019-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992285209 | Kayla Whiteside | Social Worker | 311 East 45th Place, Suite 212, Cleveland, OH 44127 | 2018-08-16 |
| 1932602018 | Daisetta Harris | Counselor | 3100 East 45 Place, 212, Cleveland, OH 44127 | 2018-03-14 |
| 1144742677 | Bruce Steven Jones | Social Worker | 3100 East 45th Place, 212, Cleveland, OH 44127 | 2017-07-17 |
| 1659893717 | Nurah Abdulwahab | Social Worker | 3100 E 45th Place, 212, Cleveland, OH 44127 | 2017-07-11 |
| 1629489208 | Lutfi Nassar | Dentist | 5716 Broadway Ave., Cleveland, OH 44127 | 2014-05-16 |
| 1568881803 | Broadway Academy, Inc. | Local Education Agency (LEA) | 3398 East 55th Street, Cleveland, OH 44127 | 2014-04-15 |
| 1154665966 | Rose Ann Broadus | Home Health Aide | 3926 Mcbride Avenue, Cleveland, OH 44127 | 2012-11-16 |
| 1396002457 | Ne'cole Lynn Broadus | Home Health Aide | 5073 Pershing Avenue, Cleveland, OH 44127 | 2012-04-13 |
| 1790059764 | Sheniece Fountaine | Home Health | 7028 Ivy Ave, Cleveland, OH 44127 | 2012-03-08 |
| 1598062671 | Akia F Lampkin | Social Worker | 3100 E 45th St Ste 212, Cleveland, OH 44127 | 2011-02-25 |
| Find all providers in zip 44127 | ||||
| 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 |
|---|---|---|---|---|
| 1922606755 | Kathy Ann Miller | Case Manager/Care Coordinator | 296 Colony Ln Nw, Cleveland, TN 37312-6411 | 2020-10-14 |
| 1437766243 | Marie L Clay | Case Manager/Care Coordinator | 8200 Rosewood Ave # Up, Cleveland, OH 44105-6683 | 2020-09-25 |
| 1073123311 | King Malone IIi | Case Manager/Care Coordinator | 1193 E 172nd St, Cleveland, OH 44119-3153 | 2020-08-02 |
| 1750990727 | Reginald Bagley I | Case Manager/Care Coordinator | 2728 Euclid Ave Ste 4004th, Cleveland, OH 44115-2429 | 2020-07-27 |
| 1497364681 | James Gordon | Case Manager/Care Coordinator | 896 E 73rd St, Cleveland, OH 44103-1792 | 2020-07-24 |
| 1558988204 | Jamil Brooks | Case Manager/Care Coordinator | 23612 Mccann St, Cleveland, OH 44128-5250 | 2020-06-29 |
| 1629692801 | Theodore Williams Iv | Case Manager/Care Coordinator | 7271 Engle Rd Ste 207, Cleveland, OH 44130-8404 | 2020-06-03 |
| 1629690920 | Vincent Van Johnson | Case Manager/Care Coordinator | 17325 Euclid Ave Ste 4028, Cleveland, OH 44112-1270 | 2020-05-11 |
| 1932728508 | Janayia Thompson | Case Manager/Care Coordinator | 12395 Mccracken Rd # A-up, Cleveland, OH 44125-2967 | 2020-04-13 |
| 1942836309 | Shirley Tucker | Case Manager/Care Coordinator | 2728 Euclid Ave, Cleveland, OH 44115-2429 | 2020-03-18 |
| Find all providers in CLEVELAND | ||||
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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.