TERRI L CLARK (NPI# 1750761607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750761607 |
| Entity Type | Individual |
| Full Name | TERRI L CLARK |
| Practice Address |
10130 Perimeter Pkwy Ste 200 Charlotte NC 28216-0197 |
| Practice Telephone | (888) 849-7379 |
| Practice Fax Number | 8558577333 |
| Mailing Telephone | (888) 849-7379 |
| Mailing Fax Number | 8558577333 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2017-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C008746 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336411107 | Terri Clark | Counselor | 21 Ne 63rd St, Oklahoma City, OK 73105-1421 | 2012-02-08 |
| 1942372966 | Terri Lee Clark | Registered Nurse | 1505 N Rynders St, Grand Chute, WI 54914-1614 | 2006-11-14 |
| 1184703159 | Terri S Clark | Technician/Technologist | 406 Highway 6 South, Oakland, IA 51560-0323 | 2006-11-02 |
| 1376556399 | Terri Clark | Physical Therapist | 3331 S State St, Saint Joseph, MI 49085-2458 | 2006-08-14 |
| 1598325896 | Terri A Clark | Physical Therapy Assistant | 1900 Oneal St, Gainesville, TX 76240-3604 | 2019-06-18 |
| 1770035966 | Terri Jo Clark | Nurse Practitioner | 2353 N Main St, Vidor, TX 77662-2610 | 2016-11-04 |
| 1962954305 | Terri Jo Clark | Nurse Practitioner | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2016-11-02 |
| 1154576130 | Terri Nikole Clark | Social Worker | 1704 Highway 69 West, Trumann, AR 72472-2029 | 2008-11-18 |
| 1659396919 | Terri L Clark | Nurse Anesthetist, Certified Registered | 1 Medical Park, Wheeling, WV 26003-6379 | 2006-07-13 |
| 1013909050 | Terri Patrice Clark | Midwife | 100 Church St S, New Haven, CT 06519-1703 | 2005-08-16 |
| Street Address |
10130 PERIMETER PKWY STE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28216-0197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194718619 | John Michael Shimko | Podiatrist | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2005-08-30 |
| 1932686128 | Misty Moore Reagan | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216 | 2018-07-20 |
| 1093205049 | Khamphou Manivanh Mosley | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2018-05-15 |
| 1316453194 | Kenya Lakisha Cruz | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216 | 2017-12-15 |
| 1164947305 | Toshia Chipman | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2017-08-09 |
| 1447774823 | Lakiesha Johnson Squirewell | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2017-07-27 |
| 1205367588 | Eva Krug | Social Worker | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2017-03-27 |
| 1639626047 | Tiaira Robinson | Social Worker | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2016-09-01 |
| 1396115424 | Michelle Dunlap Deaton | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2015-10-01 |
| 1629447503 | Cheria Morgan | Social Worker | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216 | 2015-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837331 | Transit Consortium of South Carolina, LLC | Non-emergency Medical Transport (VAN) | 5025 Roundstone Way, Suite 103, Charlotte, NC 28216 | 2020-03-25 |
| 1811538796 | Strengthening Families Within Communities LLC | Community/Behavioral Health | 4135 Bryan Furr Drive, Charlotte, NC 28216 | 2019-10-02 |
| 1841705159 | Karen Sue Rhea | Registered Nurse | 4004 Nicole Eileen Lane, Charlotte, ND 28216 | 2017-12-08 |
| 1992225890 | Be Free Counseling, Pllc | Social Worker | 7800 Bridle Court, Charlotte, NC 28216 | 2017-06-21 |
| 1013466416 | Roha Solutions, Inc | Community Based Residential Treatment Facility, Mental Illness | 1529 Jennings St, Charlotte, NC 28216 | 2016-09-26 |
| 1336595826 | North Carolina Neurodiagnostics, LLC | Clinic/Center | 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 | 2016-05-13 |
| 1346600699 | Elizabeth Ayodele Agiri | Registered Nurse | 9404 Perimeter Station Dr, Apt. 108, Charlotte, NC 28216 | 2016-02-29 |
| 1922479179 | Prashant Patel | Pharmacist | 9820 Callibridge Court, Charlotte, NC 28216 | 2015-10-14 |
| 1205226685 | Sarah Baker | Social Worker | 10506 Grobie Way Apt 104, Charlotte, NC 28216 | 2015-01-23 |
| 1578967089 | The Moon Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4548 Hyperion Court, Charlotte, NC 28216 | 2014-10-13 |
| Find all providers in zip 28216 | ||||
| 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 |
|---|---|---|---|---|
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1164022570 | Directional Care Community Services LLC. | Social Worker | 6220 Sid Crane Dr, Charlotte, NC 28216-7684 | 2020-10-27 |
| 1710586698 | Queen City Psychotherapy Pllc | Social Worker | 100 Matador Ln Apt 403, Charlotte, NC 28209-3364 | 2020-10-21 |
| 1609474915 | Karen Doris Myers | Social Worker | 2503 Roswell Ave Unit 301, Charlotte, NC 28209-1683 | 2020-10-09 |
| 1750997540 | Patricia Mckinney | Social Worker | 4922 Albemarle Rd Ste 3a, Charlotte, NC 28205-6618 | 2020-09-17 |
| 1487260493 | Sarah Mcgeachy Greene | Social Worker | 1332 Morningside Dr., Charlotte, NC 28205 | 2020-09-16 |
| 1700499753 | Kelsey Dawn Miller | Social Worker | 3635 Manor House Dr, Charlotte, NC 28270-2291 | 2020-08-28 |
| 1104437847 | Delilah Mcdonald | Social Worker | 9812 Aviary Hill Way, Charlotte, NC 28214-7138 | 2020-08-15 |
| 1972114148 | Camari Claiborne-scott | Social Worker | 14026 Dingess Rd, Charlotte, NC 28273-3285 | 2020-08-12 |
| 1366050239 | Jacquelyne Aida Tingey | Social Worker | 5950 Fairview Rd Ste 660, Charlotte, NC 28210-3113 | 2020-07-16 |
| Find all providers in CHARLOTTE | ||||
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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.