MRS. STEPHANIE K CLARK (NPI# 1679916894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679916894 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE K CLARK |
| Credential | M SP ED |
| Practice Address |
1501 Breckenridge St Owensboro KY 42303-1054 |
| Practice Telephone | 2708525553 |
| Practice Fax Number | 2708522941 |
| Mailing Telephone | 2708525553 |
| Mailing Fax Number | 2708522941 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2016-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612605 | Stephanie Clark | Massage Therapist | 15227 Spring Cor, San Antonio, TX 78247-1693 | 2020-09-01 |
| 1811516156 | Stephanie Clark | Social Worker | 10185 Isle St, Parker, CO 80134-5788 | 2020-04-15 |
| 1306486444 | Stephanie Clark | Licensed Practical Nurse | 636 Clay Ave Uppr, Rochester, NY 14613-1030 | 2020-01-07 |
| 1841681046 | Stephanie Clark | Technician, Other | 2917 S Ash Ct, Broken Arrow, OK 74012-7804 | 2015-02-09 |
| 1760816326 | Stephanie Diane Clark | Case Manager/Care Coordinator | 4613 Se 41st St, Del City, OK 73115-3703 | 2013-08-30 |
| 1538447560 | Stephanie Renae Clark | Physical Therapist | 927 Battlefield Blvd N, Suite 200, Chesapeake, VA 23320-4853 | 2011-07-25 |
| 1932330545 | Stephanie D Clark | Social Worker | 16581 Us Highway 17 N Ste 600, Hampstead, NC 28443-7451 | 2009-07-30 |
| 1487719787 | Stephanie Clark | Licensed Practical Nurse | 55 Ramble Hill Lane, Millbrook, NY 12545 | 2006-12-27 |
| 1811057425 | Stephanie Clark | Dentist | 7601 A Germantown Ave, Philadelphia, PA 19119 | 2006-12-12 |
| 1700864733 | Stephanie Elaine Clark | Audiologist | 13934 N 59th Ave, Ste 120, Glendale, AZ 85306-4167 | 2006-01-09 |
| Street Address |
1501 BRECKENRIDGE ST |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275513111 | Green River District Health Department | Public Health or Welfare | 1501 Breckenridge St, Owensboro, KY 42303-1054 | 2006-01-18 |
| 1821633041 | Jessica Foster | Case Manager/Care Coordinator | 1501 Breckenridge St, Owensboro, KY 42303-1054 | 2019-11-12 |
| 1013579911 | Casey Jean Mathews | Case Manager/Care Coordinator | 1501 Breckenridge St, Owensboro, KY 42303-1054 | 2019-07-01 |
| 1174007215 | Brooklyn Lynn Hagan | Case Manager/Care Coordinator | 1501 Breckenridge St, Owensboro, KY 42303-1054 | 2018-09-24 |
| 1114468196 | Rebecca Ann Treon | Case Manager/Care Coordinator | 1501 Breckenridge St, Owensboro, KY 42303-1054 | 2017-03-10 |
| 1790150001 | Rachelle Poole | Case Manager/Care Coordinator | 1501 Breckenridge St, Owensboro, KY 42303-1054 | 2015-12-11 |
| 1588039887 | Kimberly Jones | Case Manager/Care Coordinator | 1501 Breckenridge St, Owensboro, KY 42303-1054 | 2015-12-11 |
| 1285944496 | Mitzi Ray Helton | Case Manager/Care Coordinator | 1501 Breckenridge St, Owensboro, KY 42303-1054 | 2010-10-21 |
| 1104070473 | Alana Sue Troutman | Social Worker | 1501 Breckenridge St, Owensboro, KY 42303-1054 | 2008-11-12 |
| 1073772190 | Brenda Jo Montgomery | Social Worker | 1501 Breckenridge St, Owensboro, KY 42303-1054 | 2008-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| 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 |
|---|---|---|---|---|
| 1649697145 | Amber M Payne | Case Manager/Care Coordinator | 1638 Creek Haven Loop, Owensboro, KY 42303-4646 | 2014-03-21 |
| 1851549505 | Crystal Mckay Simon | Case Manager/Care Coordinator | 5085 Millers Mill Rd, Owensboro, KY 42303-2247 | 2008-09-07 |
| 1295367662 | Ericka Morrison | Case Manager/Care Coordinator | 1326 W 9th St, Owensboro, KY 42301-2028 | 2020-02-04 |
| 1649817321 | Jennifer Erin Mingo | Case Manager/Care Coordinator | 710 Carlton Dr, Owensboro, KY 42303-7719 | 2019-12-02 |
| 1821633041 | Jessica Foster | Case Manager/Care Coordinator | 1501 Breckenridge St, Owensboro, KY 42303-1054 | 2019-11-12 |
| 1063069201 | St. Benedict Joseph's Shelter, Inc. | Case Manager/Care Coordinator | 1001 W 7th St, Owensboro, KY 42301-2007 | 2019-08-22 |
| 1013579911 | Casey Jean Mathews | Case Manager/Care Coordinator | 1501 Breckenridge St, Owensboro, KY 42303-1054 | 2019-07-01 |
| 1902361827 | Joshua Baldwin | Case Manager/Care Coordinator | 710 Carlton Dr, Owensboro, KY 42303-7719 | 2019-02-05 |
| 1083181036 | Laura Nealy | Case Manager/Care Coordinator | 710 Carlton Dr, Owensboro, KY 42303-7719 | 2018-10-29 |
| 1174007215 | Brooklyn Lynn Hagan | Case Manager/Care Coordinator | 1501 Breckenridge St, Owensboro, KY 42303-1054 | 2018-09-24 |
| Find all providers in OWENSBORO | ||||
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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.