CHRISTINA LYNN CLARK (NPI# 1801129267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801129267 |
| Entity Type | Individual |
| Full Name | CHRISTINA LYNN CLARK |
| Credential | LCSW |
| Practice Address |
2143 Ne Broadway St Portland OR 97232-1512 |
| Mailing Address |
2581 Ne 31st Ave Portland OR 97212-3660 |
| Practice Telephone | 9179129505 |
| Mailing Telephone | 9179129505 |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2017-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6547 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154894988 | Christina Clark | Community Health Worker | 7028 Cobblestone Dr, Memphis, TN 38125-2612 | 2019-01-04 |
| 1427390350 | Christina D Clark | Technician, Other | 119 Lowenstein Ln, Cardington, OH 43315-9627 | 2013-03-18 |
| 1467762922 | Christina Michelle Clark | Dentist | 15310 Dawn Meadows Dr, Houston, TX 77068-3816 | 2010-10-18 |
| 1376710236 | Christina S Clark | Pharmacist | 2820 Keith Bridge Rd, Cumming, GA 30041-3935 | 2008-05-09 |
| 1003817081 | Christina Clark | Psychologist | 666 High St, Suite 200-d, Worthington, OH 43085-4135 | 2005-08-02 |
| 1386262830 | Christina Clark | Student in an Organized Health Care Education/Training Program | 4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367 | 2020-07-10 |
| 1013565498 | Christina Mae Clark | Physician Assistant | 25a June Street, Sanford, ME 04073 | 2019-08-29 |
| 1386206571 | Christina Clark | Nurse Practitioner | 715 Mall Ring Cir Ste 202, Henderson, NV 89014-6667 | 2019-07-08 |
| 1235798497 | Christina Cheryl Clark | Chore Provider | 343 Fairview Dr Ste 101, Carson City, NV 89701-5389 | 2019-06-11 |
| 1639682081 | Christina M Clark | Behavior Technician | 1176 Pelican Bay Dr, Daytona Beach, FL 32119-1381 | 2017-11-08 |
| Street Address |
2143 NE BROADWAY ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134292980 | Rayna Joyce Jacobson | Acupuncturist | 2143 Ne Broadway St, Portland, OR 97232-1512 | 2006-11-17 |
| 1760833362 | Soaring Dragon Massage | Acupuncturist | 2143 Ne Broadway St, Ste 1, Portland, OR 97232-1512 | 2016-06-24 |
| 1053778027 | Fox Massage LLC | Clinic/Center | 2143 Ne Broadway St, Portland, OR 97232-1512 | 2016-01-21 |
| 1033513916 | Angela Potter | Naturopath | 2143 Ne Broadway St, Portland, OR 97232-1512 | 2014-10-21 |
| 1033513932 | Harbor Health Clinic | Clinic/Center | 2143 Ne Broadway St, Portland, OR 97232-1512 | 2014-10-21 |
| 1780009084 | Christine R Pearson | Acupuncturist | 2143 Ne Broadway St, Suite 4, Portland, OR 97232-1512 | 2014-02-23 |
| 1881937332 | Aaron Charles Fehon | Massage Therapist | 2143 Ne Broadway St, Suite #6, Portland, OR 97232-1512 | 2013-04-03 |
| 1063776300 | Dana Highfill | Massage Therapist | 2143 Ne Broadway St, Ste #1, Portland, OR 97232-1512 | 2012-07-02 |
| 1639462484 | Steven Daniel Hohenboken | Counselor | 2143 Ne Broadway St, #2, Portland, OR 97232-1512 | 2011-05-25 |
| 1255653135 | John Michael Zoscak IIi | Chiropractor | 2143 Ne Broadway St, Portland, OR 97232-1512 | 2010-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| 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 |
|---|---|---|---|---|
| 1063012649 | Kathleen Russell | Social Worker | 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 | 2020-10-31 |
| 1275131534 | Alice Hacker | Social Worker | 14702 Se Rhone St, Portland, OR 97236-2557 | 2020-10-09 |
| 1598372070 | Kristin Elizabeth Hajny | Social Worker | 9343 Sw Camille Ter, Portland, OR 97223-7042 | 2020-09-28 |
| 1821605759 | Melanie Smith | Social Worker | 4210 N Juneau St, Portland, OR 97203-2063 | 2020-09-24 |
| 1871100867 | Purely Spirit Holistic Health, LLC | Social Worker | 226 Stevens Ave Apt 9, Portland, ME 04102-2263 | 2020-09-24 |
| 1023624780 | Flourish Counseling and Consulting LLC | Social Worker | 8401 Ne Halsey St Ste 107, Portland, OR 97220-5670 | 2020-09-18 |
| 1245845130 | Crescent Psychotherapy | Social Worker | 168 Neal St, Portland, ME 04102-3343 | 2020-09-09 |
| 1861007676 | Yvonne Recchia | Social Worker | 5257 Ne Mlk, Portland, OR 97211-3282 | 2020-09-09 |
| 1447864327 | Gordon Keepers | Social Worker | 3181 Sw Sam Jackson Park Rd # Uhs8-l, Portland, OR 97239-3098 | 2020-09-08 |
| 1609484187 | Julie Pratt | Social Worker | 14 Culver Ln, Portland, CT 06480-1323 | 2020-07-21 |
| Find all providers in PORTLAND | ||||
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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.