MS. COURTNEY CLARK (NPI# 1619301546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619301546 |
| Entity Type | Individual |
| Full Name | MS. COURTNEY CLARK |
| Credential | LCSW |
| Practice Address |
1100 Lake St Suite 201 Oak Park IL 60301-1015 |
| Mailing Address |
6230 W Cuyler Ave Chicago IL 60634-1501 |
| Practice Telephone | 7737667010 |
| Mailing Telephone | 7735442714 |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149008112 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056681 | Courtney Denise Clark | Counselor | 502 Mockingbird Dr, Crossville, TN 38555-5836 | 2020-09-03 |
| 1558722082 | Courtney Clark | Behavioral Analyst | 2541 White Mountain Hwy, Unit 5, North Conway, NH 03860-5125 | 2016-03-10 |
| 1609476746 | Courtney Clark | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2020-10-28 |
| 1720615008 | Courtney Clark | Physical Medicine & Rehabilitation | 3574 Center Rd, Brunswick, OH 44212-3618 | 2020-03-25 |
| 1518590660 | Courtney A Clark | Counselor | 12921 Cantrell Rd Ste 105, Little Rock, AR 72223-1798 | 2020-02-18 |
| 1174170237 | Courtney Clark | Social Worker | 1509 Maple St, Scranton, PA 18505-2707 | 2019-08-23 |
| 1457906588 | Courtney Lynn Clark | Counselor | 207d Colegate Dr, Marietta, OH 45750-2363 | 2019-08-06 |
| 1801351341 | Courtney Clark | Case Manager/Care Coordinator | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2019-02-08 |
| 1275002164 | Courtney Marie Clark | Counselor | 833 N 26th St, Milwaukee, WI 53233-1507 | 2018-11-20 |
| 1740787027 | Courtney N Clark | Speech-Language Pathologist | 731 N Klein Cir, Derby, KS 67037-7011 | 2018-04-12 |
| Street Address |
1100 LAKE ST SUITE 201 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60301-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283803 | Forrest J Robinson | Family Medicine | 1100 Lake St, Oak Park, IL 60302 | 2005-05-23 |
| 1306384284 | Agruss Center for Health and Wellness LLC | Social Worker | 1100 Lake St, Suite 201, Oak Park, IL 60301-1015 | 2017-02-10 |
| 1689116261 | Sara Marie Rusk | Psychologist | 1100 Lake St, Ste. 230, Oak Park, IL 60301-1015 | 2016-11-14 |
| 1013377928 | Amy Schigelone Phd Lcsw LLC | Social Worker | 1100 Lake St, Suite 35, Oak Park, IL 60301-1015 | 2016-03-04 |
| 1912366295 | Wellcomemd Medical PC | Family Medicine | 1100 Lake St, Suite 125, Oak Park, IL 60301-1015 | 2016-02-16 |
| 1811394802 | Amy Schigelone | Social Worker | 1100 Lake St, Ll35, Oak Park, IL 60301-1015 | 2014-11-19 |
| 1629491394 | Kate Giandonato & Associates | Social Worker | 1100 Lake St, Suite 201, Oak Park, IL 60301-1015 | 2014-01-30 |
| 1629413166 | We Care Health Service Inc. | In Home Supportive Care | 1100 Lake St, Oak Park, IL 60301-1015 | 2013-05-09 |
| 1760761621 | Natalia Kleinaitis | Acupuncturist | 1100 Lake St, Suite 102, Oak Park, IL 60301-1015 | 2011-08-10 |
| 1174812374 | Sivakami Krishnan | Family Medicine | 1100 Lake St, Oak Park, IL 60301 | 2011-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982332 | Heather Lea Corwin | Counselor | Blackbird Behavioral Health, 715 Lake Street, 4th Floor, Oak Park, IL 60301 | 2020-01-30 |
| 1194244400 | Kristin Burns Mind and Body | Clinic/Center | 715 Lake St Ste 703, Oak Park, IL 60301 | 2017-09-18 |
| 1538686357 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1129 Lake St., Oak Park, IL 60301 | 2017-08-23 |
| 1851835888 | Wanda Secthecia Presley | Nurse's Aide | 1140 South Lake Street, Oak Park, IL 60301 | 2016-12-09 |
| 1477914323 | Naomi Elise Heinz | Occupational Therapist | 820 North Boulevard, Kids Unlimited Therapy Services, LLC, Oak Park, IL 60301 | 2016-03-18 |
| 1316339518 | Christina Shrader | Counselor | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 | 2015-02-24 |
| 1356755334 | Grief Recovery Group, Inc | Social Worker | 1010 Lake Street, Suite 620, Oak Park, IL 60301 | 2014-06-17 |
| 1700137239 | Christine Marie Hare | Nurse Practitioner | 1100 Lake St Ste 120, Oak Park, IL 60301 | 2012-09-24 |
| 1427334622 | Ina N. Owens | Social Worker | 137 N. Oak Park Ave, Oak Park, IL 60301 | 2011-11-01 |
| 1265720130 | Debora S Crowley | Occupational Therapist | 820 North Blvd., Oak Park, IL 60301 | 2011-07-13 |
| Find all providers in zip 60301 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695091 | Carri Rene Griffin | Social Worker | 23221 Republic Ave, Oak Park, MI 48237-2355 | 2020-09-30 |
| 1336753318 | Jesenia Chavez | Social Worker | 715 Lake St Ste 720&800, Oak Park, IL 60301-1422 | 2020-09-07 |
| 1295349322 | Adriel Lechner | Social Worker | 12740 Sterling Ct, Oak Park, MI 48237-2140 | 2020-09-05 |
| 1255942660 | Suzanne Gervais Trezevant | Social Worker | 715 Lake St Ste 417, Oak Park, IL 60301-1413 | 2020-08-11 |
| 1003439795 | Amanda Hensley | Social Worker | 220 S Maple Ave Apt 40, Oak Park, IL 60302-3031 | 2020-05-28 |
| 1437770500 | Counseling At Shill Partners | Social Worker | 532 Highland Ave, Oak Park, IL 60304-1523 | 2020-04-30 |
| 1942820311 | Dawn Mondschein | Social Worker | 908 S Kenilworth Ave, Oak Park, IL 60304-1913 | 2020-04-25 |
| 1023642634 | Lisa M Makely | Social Worker | 715 Lake St Ste 700, Oak Park, IL 60301-1416 | 2020-02-24 |
| 1700426947 | Colleen Kurtz | Social Worker | 1011 Lake St Ste 215, Oak Park, IL 60301-1137 | 2020-01-15 |
| 1538709225 | Tatiana Rohner | Social Worker | 329 Chestnut Ln, Oak Park, IL 60302-4402 | 2020-01-09 |
| Find all providers in OAK PARK | ||||
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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.