JAYYIDAH CLARKE (NPI# 1811420615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811420615 |
| Entity Type | Individual |
| Full Name | JAYYIDAH CLARKE |
| Credential | LCSW-C |
| Practice Address |
10632 Little Patuxent Pkwy Suite 327 Columbia MD 21044-3273 |
| Practice Telephone | 4438645647 |
| Practice Fax Number | 4432760905 |
| Mailing Telephone | 4438645647 |
| Mailing Fax Number | 4432760905 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
19764 | MD | Behavioral Health & Social Service Providers |
| Street Address |
10632 LITTLE PATUXENT PKWY SUITE 327 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-3273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700869948 | Sangita Tejas Doshi | Dentist | 10632 Little Patuxent Pkwy, Suite 337, Columbia, MD 21044-3273 | 2005-11-22 |
| 1396366431 | Samantha Hutchison | Counselor | 10632 Little Patuxent Pkwy, Columbia, MD 21044-3273 | 2020-04-29 |
| 1528524428 | Ann Gi Hun Pak Yip | Counselor | 10632 Little Patuxent Pkwy, Columbia, MD 21044-3273 | 2019-02-15 |
| 1932640760 | Aziz Obgyn | Obstetrics & Gynecology | 10632 Little Patuxent Pkwy, Suite 106, Columbia, MD 21044-3273 | 2017-03-13 |
| 1114386125 | Affinity Counseling and Family Life Services, LLC | Community/Behavioral Health | 10632 Little Patuxent Pkwy, Suite 343, Columbia, MD 21044-3273 | 2016-02-18 |
| 1548631674 | Maryland Coalition of Families for Children's Mental Health, Inc. | Voluntary or Charitable | 10632 Little Patuxent Pkwy, Suite 234, Columbia, MD 21044-3273 | 2015-10-15 |
| 1700265691 | Kimberly Vanputten-gardner | Counselor | 10632 Little Patuxent Pkwy, Suite 343, Columbia, MD 21044-3273 | 2015-05-25 |
| 1568869832 | Starr Behavioral Services Corp | Counselor | 10632 Little Patuxent Pkwy, Suite 343, Columbia, MD 21044 | 2014-12-02 |
| 1699172411 | Sangita Tejas Doshi, Dds, LLC | Dentist | 10632 Little Patuxent Pkwy, Suite 337, Columbia, MD 21044-3273 | 2014-11-21 |
| 1194125153 | American Psychiatric Group, P.a. | Clinical Medical Laboratory | 10632 Little Patuxent Pkwy, Suite #104, Columbia, MD 21044-3273 | 2014-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| 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 |
|---|---|---|---|---|
| 1699396135 | Elana Patrice Bouldin | Social Worker | 5570 Sterrett Pl Ste 205, Columbia, MD 21044-2649 | 2020-05-06 |
| 1659992998 | Stacey Denise Mcphail | Social Worker | 5402 Magnolia Park Cir, Columbia, SC 29206-1164 | 2020-04-28 |
| 1205455912 | Jordan Desai | Social Worker | 826 Maple St, Columbia, SC 29205-1732 | 2020-04-13 |
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1740810183 | Shannon Jean Haynes | Social Worker | 755 Viola Ct, Columbia, SC 29229-7089 | 2020-01-24 |
| 1093345241 | Michael R. Williams | Social Worker | 304 Laurel Rise Ln, Columbia, SC 29229-7403 | 2020-01-16 |
| 1427697523 | Elizabeth Lynn Meritt | Social Worker | 7344 Eden Brook Dr Apt 928, Columbia, MD 21046-1288 | 2020-01-06 |
| 1134762735 | Scott Buis | Social Worker | 2120 E Business Loop 70, Columbia, MO 65201-5504 | 2019-10-26 |
| 1295378859 | Andrea Terese Rule | Social Worker | 210 W Sand Bank Rd Ste 14, Columbia, IL 62236-1044 | 2019-10-25 |
| 1710529144 | Christine M Lero | Social Worker | 1604 Pickard Way, Columbia, MO 65203-4722 | 2019-10-17 |
| Find all providers in COLUMBIA | ||||
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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.