JESSICA ELIZABETH CLARK (NPI# 1811322860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811322860 |
| Entity Type | Individual |
| Full Name | JESSICA ELIZABETH CLARK |
| Practice Address |
50 Redfield St Dorchester MA 02122-3630 |
| Practice Telephone | 8573838820 |
| Mailing Telephone | 8573838820 |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528690906 | Jessica Clark | Doula | 343 N Main Ave, Gresham, OR 97030-7246 | 2020-02-04 |
| 1962054387 | Jessica Lynn Clark | Nurse Practitioner | 7219 N Litchfield Rd Bldg 11302nd, Luke Air Force Base, AZ 85309-1529 | 2019-07-16 |
| 1568962306 | Jessica Lee Clark | Registered Nurse | 6011 Cielo Rnch, San Antonio, TX 78218-4161 | 2018-02-19 |
| 1811416076 | Jessica Clark | Counselor | 42189 Shadow Creek Ave, Gonzales, LA 70737-7241 | 2017-09-19 |
| 1124572821 | Jessica Clark | Specialist | 5664 Cahuenga Blvd, North Hollywood, CA 91601-2103 | 2016-08-10 |
| 1104286871 | Jessica Clark | Counselor | 2575 Westgate Bldg 2, Pendleton, OR 97801-9613 | 2016-02-24 |
| 1942612296 | Jessica Clark | Case Management | 620 John Austin Ln, Mt Washington, KY 40047-6354 | 2014-05-21 |
| 1154610269 | Jessica Clark | Social Worker | 55 Floyd Ave, Riverside, RI 02915-2927 | 2011-03-30 |
| 1346558780 | Jessica Clark | Dietitian, Registered | 187-191 Main Street, Ste 300, Emmaus, PA 18049-4017 | 2010-09-20 |
| 1760794309 | Jessica Michelle Clark | Dentist | 1300 Kempsville Rd Ste 5, Virginia Beach, VA 23464-6199 | 2010-07-12 |
| Street Address |
50 REDFIELD ST |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02122-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548439797 | Rebecca Gallo | Social Worker | 50 Redfield St, Suite 302, Dorchester, MA 02122-3630 | 2008-02-21 |
| 1952908402 | Rodney Harris | Marriage & Family Therapist | 50 Redfield St, Dorchester, MA 02122-3630 | 2020-10-07 |
| 1790392272 | Thylia K Duporte | Social Worker | 50 Redfield St, Dorchester, MA 02122-3630 | 2020-09-28 |
| 1417575390 | Melissa Anne Bloom | Student in an Organized Health Care Education/Training Program | 50 Redfield St, Dorchester, MA 02122-3630 | 2020-07-08 |
| 1699392456 | Hannah Burford | Social Worker | 50 Redfield St, Dorchester, MA 02122-3630 | 2020-06-28 |
| 1114552031 | Danielle Ferriola | Social Worker | 50 Redfield St, Dorchester, MA 02122-3630 | 2020-03-11 |
| 1013550755 | Hannah Enoy | Case Manager/Care Coordinator | 50 Redfield St, Dorchester, MA 02122-3630 | 2019-10-25 |
| 1982255535 | Jeffrey Osborne | Counselor | 50 Redfield St, Dorchester, MA 02122-3630 | 2019-09-25 |
| 1407329022 | Kyle Richardson | Social Worker | 50 Redfield St, Dorchester, MA 02122-3630 | 2019-01-07 |
| 1811460728 | James Alexander Baez | Counselor | 50 Redfield St, Dorchester, MA 02122-3630 | 2019-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720875 | Joey Mark Nguyen | Pharmacist | 747 Gallivan Blvd, Dorchester, MA 02122 | 2020-08-14 |
| 1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
| 1336789528 | Katheline Leconte | Social Worker | 230 Bowdoin Street, Dorchester, MA 02122 | 2020-01-15 |
| 1700374725 | Renee Ahern | Registered Nurse | 398 Neponset Ave., Dorchester, MA 02122 | 2018-04-25 |
| 1861902371 | Bridget Mary Walsh | Specialist/Technologist | 519 Ashmont St, Dorchester, MA 02122 | 2017-10-10 |
| 1649798133 | Roosevelt Lewis IIi | Registered Nurse | 1486 Dorchester Ave Ste 206, Boston, MA 02122 | 2017-09-05 |
| 1811427404 | Hanh Nguyen | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122 | 2017-06-15 |
| 1669902474 | Thuy T Nguyen | Counselor | 415 Neponset Avenue, Dorchester, MA 02122 | 2017-06-14 |
| 1093262651 | David Scot Rapaport | Counselor | 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 | 2016-09-01 |
| 1104372960 | Kevin Lyn Sisson | Student in an Organized Health Care Education/Training Program | 417 Neponset Ave, Boston, MA 02122 | 2016-08-31 |
| Find all providers in zip 02122 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316571011 | Tabianna Patterson | Counselor | 63 Evans St, Dorchester, MA 02124-4598 | 2020-03-03 |
| 1730712928 | Neusa Barros Araujo | Counselor | 17 Virginia St, Dorchester, MA 02125-2352 | 2020-02-17 |
| 1306319025 | Brendan Lynch | Counselor | 204 Milton St, Dorchester, MA 02124-5331 | 2019-01-04 |
| 1619458130 | Amanda Maureen Lewis | Counselor | 88 Auckland St Apt 3, Dorchester, MA 02125-3327 | 2018-08-23 |
| 1942789102 | Amanda Louise Kalander | Counselor | 37 Harbor View St Apt 3, Dorchester, MA 02125-1324 | 2018-08-08 |
| 1184119349 | Vernall Stafford | Counselor | 136 Callender St, Dorchester, MA 02124-3228 | 2018-06-28 |
| 1518458710 | Kelli Nicole Mccray | Counselor | 7 Lorne St Apt 1, Dorchester, MA 02124-1410 | 2018-05-23 |
| 1285121210 | Heather Marie Corazzini | Counselor | 56 Sawyer Ave Apt 2, Dorchester, MA 02125-2036 | 2018-04-16 |
| 1720586928 | Nicole Frederick | Counselor | 33 Eastman St, Dorchester, MA 02125-2210 | 2018-01-23 |
| 1639608318 | Geovanni Ricardo Livingston | Counselor | 805 Blue Hill Ave, Dorchester, MA 02124-1603 | 2017-06-07 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02122 |
Please comment or provide details below to improve the information on JESSICA ELIZABETH CLARK.
| 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.