JANICE M CLARK (NPI# 1720131493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720131493 |
| Entity Type | Individual |
| Full Name | JANICE M CLARK |
| Credential | L.C.S.W. |
| Practice Address |
5955 Zeamer Avenue 673d Mdg Jber AK 99506 |
| Practice Telephone | 9075805858 |
| Mailing Telephone | 9075805858 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2014-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW000943 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275195547 | Janice L Clark | Specialist/Technologist | 9713 Carson Ranch Rd, Crowley, TX 76036-9717 | 2019-07-08 |
| 1548597727 | Janice Laurel Clark | Counselor | 2208 Bromfield Cir, Wichita, KS 67226-1105 | 2009-11-10 |
| 1942808209 | Janice M Clark | Technician | 111 Virginia Ave, Petersburg, WV 26847-1713 | 2020-10-09 |
| 1346893534 | Janice Clark | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2019-07-17 |
| 1851707376 | Janice Clark | Social Worker | 800 N 1st St, San Jose, CA 95112-6312 | 2014-07-03 |
| 1306141924 | Janice Clark | Counselor | 325 Clifty St, Somerset, KY 42501-1666 | 2011-01-12 |
| 1639322233 | Janice D Clark | Dentist | 2041 Silas Creek Pkwy, Winston Salem, NC 27103-5147 | 2008-10-28 |
| 1811168339 | Janice Patrece Clark | Orthopaedic Surgery | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2008-03-13 |
| 1346329976 | Janice Clark | Nurse Practitioner | 507 S 4th St, Clinton, IA 52732-4532 | 2006-11-03 |
| Street Address |
5955 ZEAMER AVENUE 673D MDG |
| City | JBER |
| State | AK |
| Zip Code | 99506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619963618 | Sarah-ann Beal | Occupational Therapist | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506 | 2005-09-25 |
| 1922576552 | Suzette A O'donnell | Social Worker | 5955 Zeamer Avenue, Jber, AK 99506 | 2018-11-13 |
| 1982060018 | Christine Ahlalook | Social Worker | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506 | 2016-01-05 |
| 1659765360 | Kristine Percival | Pharmacist | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506-1928 | 2015-03-20 |
| 1053710798 | Debra Sizemore | Registered Nurse | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506-3700 | 2014-08-19 |
| 1477977569 | Larry Stowers | Nurse Practitioner | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506-3700 | 2014-02-10 |
| 1033461942 | Heidi Ann Koslo | Nurse Practitioner | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506 | 2012-10-03 |
| 1205186525 | Mark A Benage | Dentist | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506-3700 | 2012-09-13 |
| 1457628422 | Rae H Nakayama | Pharmacist | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506 | 2011-11-19 |
| 1447540893 | Joanne M Villaflor | Dietitian, Registered | 5955 Zeamer Avenue, 673rd Mdg, Jber, AK 99506 | 2011-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538797279 | Mark Pulver | Social Worker | 673mdg, Zeamer Avenue, Joint Base Elmendorf-richardson, AK 99506 | 2020-03-30 |
| 1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
| 1679056659 | Bennett Robert Stadler | Physician Assistant | 673 Mdg 5955 Zeamer Avenue, Jber, AK 99506 | 2018-09-14 |
| 1437678687 | Mary Ann Barnard | Nurse Practitioner | Joint Base Elmendorf-richardson Hospital, 5955 Zeamer Ave, Anchorage, AK 99506 | 2017-09-19 |
| 1205375698 | Kuuipo Lau | Social Worker | 673d Mdg, 5955 Zeamer Ave., Jber, AK 99506 | 2017-02-17 |
| 1427434315 | Vance Knauer | Dentist | 673mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-08-03 |
| 1295112159 | Jacob Eby | Pediatrics | 673 Mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-04-29 |
| 1174956338 | Scott M Cheney | Physical Therapist | 673mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2013-08-12 |
| 1518305580 | Jennifer Lynn Robison | Physician Assistant | 65955 Zeamer Avenue, Jber, AK 99506 | 2013-06-12 |
| 1588939664 | Paul Aaron Garrett | Emergency Medicine | 673rd Mdg, 5955 Zeamer Avenue, Jber, Apo, AA 99506 | 2012-03-21 |
| Find all providers in zip 99506 | ||||
| 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 |
|---|---|---|---|---|
| 1205375698 | Kuuipo Lau | Social Worker | 673d Mdg, 5955 Zeamer Ave., Jber, AK 99506 | 2017-02-17 |
| 1275888943 | Cleo Patrick | Social Worker | 5955 Zeamer Ave # 673mdg, Jber, AK 99506-3702 | 2012-07-19 |
| 1396013637 | Sherry Barrett | Social Worker | 8517 20th St, Jber, AK 99506-2401 | 2011-12-01 |
| 1982249579 | Nicolas Araiza Jr. | Social Worker | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-11-07 |
| 1922576552 | Suzette A O'donnell | Social Worker | 5955 Zeamer Avenue, Jber, AK 99506 | 2018-11-13 |
| 1962908699 | Paula Denise Fowler | Social Worker | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2018-04-02 |
| 1114420643 | Kristina Niccole Boleen | Social Worker | 673d Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2018-03-11 |
| 1386143683 | Ashley N Wofford | Social Worker | 673mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2018-02-02 |
| 1952820573 | Kristin Michelle Nosek | Social Worker | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2017-09-14 |
| 1982060018 | Christine Ahlalook | Social Worker | 5955 Zeamer Avenue, 673d Mdg, Jber, AK 99506 | 2016-01-05 |
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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.