MS. DIANE E. CLARK (NPI# 1841406261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841406261 |
| Entity Type | Individual |
| Full Name | MS. DIANE E. CLARK |
| Credential | M.S., LMHC |
| Practice Address |
200 Washington St Suite 205 Watertown NY 13601-3335 |
| Practice Telephone | 3157780742 |
| Mailing Telephone | 3157780742 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
003049 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841767449 | Diane Clark | Registered Nurse | 8219 Golden Hbr, Missouri City, TX 77459-6905 | 2018-11-01 |
| 1669612644 | Diane M Clark | Counselor | 1557 Brandon Sq, Lawrenceville, GA 30044-3016 | 2009-03-03 |
| 1922563139 | Diane Faith Clark | Psychologist | 25631 Peter A Hartman Way, Mission Viejo, CA 92691-3142 | 2019-02-01 |
| 1952763377 | Diane Clark | Registered Nurse | 1118 F St, Lewiston, ID 83501-1930 | 2016-03-24 |
| 1225419096 | Diane Clark | Social Worker | 1115 Westport Dr Ste D2, Manhattan, KS 66502-2871 | 2015-06-17 |
| 1164832887 | Diane Clark | Counselor | 233 S Quintana Dr, Anaheim, CA 92807 | 2014-05-02 |
| 1558634980 | Diane Clark | Pharmacist | 3639 Crater Lake Hwy, Medford, OR 97504-9259 | 2012-02-15 |
| 1881863488 | Diane K Clark | Nurse Practitioner | 9427 Sw Barnes Rd, Ste 595, Portland, OR 97225-6640 | 2008-02-27 |
| 1306994637 | Diane Marie Clark | Chiropractor | 4705 S Clyde Morris Blvd, Port Orange, FL 32129-4103 | 2007-01-05 |
| 1306941166 | Diane Maxine Clark | Physical Therapist | 13560 Wayzata Blvd, Minnetonka, MN 55305-1850 | 2006-09-14 |
| Street Address |
200 WASHINGTON ST SUITE 205 |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-3335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417253444 | Electrostim Medical Services, Inc. | Durable Medical Equipment & Medical Supplies | 200 Washington St, Suite 201b, Watertown, NY 13601-3997 | 2011-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725023 | Jade Kirsten Sorensen | Counselor | 210 S Rutland St, Watertown, NY 13601-3437 | 2020-09-16 |
| 1467061184 | Emma Rockwood | Counselor | 531 Washington St Ste 4124, Watertown, NY 13601-4037 | 2020-07-28 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1134755440 | Patricia A Jonas | Counselor | 801 Jenson Ave Se, Watertown, SD 57201-5227 | 2020-03-18 |
| 1497389068 | Randi Hartman | Counselor | 818 S Broadway, Watertown, SD 57201-4861 | 2020-02-23 |
| 1316589484 | Aspen Counseling Services, Pllc | Counselor | 1019 6th Ave Se, Watertown, SD 57201-6603 | 2019-10-10 |
| 1285283911 | Stephanie Mae Wensink | Counselor | 3 Repton Cir Unit 3306, Watertown, MA 02472-2444 | 2019-09-05 |
| 1275095853 | Katherine Richey | Counselor | 118 Main St Ste 1b, Watertown, MA 02472-4425 | 2019-04-03 |
| 1790254654 | Kelsey Leigh Naklick | Counselor | 22670 Summit Dr Ste 2, Watertown, NY 13601-7208 | 2018-11-20 |
| 1336618396 | Better Me Counseling and Consulting | Counselor | 818 S Broadway Ste 113, Watertown, SD 57201-4800 | 2018-11-20 |
| Find all providers in WATERTOWN | ||||
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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.