KELLI CLARK (NPI# 1922536374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922536374 |
| Entity Type | Individual |
| Full Name | KELLI CLARK |
| Practice Address |
7200 Bancroft Ave Oakland CA 94605-2403 |
| Practice Telephone | 5105538500 |
| Mailing Telephone | 5105538500 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2017-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518460294 | Kelli Clark | Counselor | 3100 Pioneer Ave, Pittsburgh, PA 15226-1741 | 2018-03-09 |
| 1255955548 | Kelli Elizabeth Clark | Audiologist | 1800 Dual Hwy Ste 303, Hagerstown, MD 21740-6648 | 2020-06-02 |
| 1023669363 | Kelli Clark | Behavior Technician | 1250 S Aw Grimes Blvd, Round Rock, TX 78664-7429 | 2019-09-27 |
| 1659925436 | Kelli Clark | Counselor | 1555 Parkmoor Ave, San Jose, CA 95128-2407 | 2019-07-30 |
| 1558763839 | Kelli Clark | Occupational Therapist | 401 Locust St, Suite 2a, Coraopolis, PA 15108-3954 | 2014-09-18 |
| 1104196815 | Kelli Marie Clark | Social Worker | 23 Maple St, Massena, NY 13662-1017 | 2012-01-11 |
| 1104145895 | Kelli Nicole Clark | Social Worker | 619 N Main St, Muskogee, OK 74401-4431 | 2010-05-20 |
| Street Address |
7200 BANCROFT AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94605-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801816244 | Alexander Enacio Jackson | Social Worker | 7200 Bancroft Ave, Suite 125-d, Alameda County Bhcs, Oakland, CA 94605-2403 | 2006-07-20 |
| 1538777545 | Cynthia Solorza | Counselor | 7200 Bancroft Ave, Oakland, CA 94605-2403 | 2020-07-15 |
| 1154963338 | Grace Hong | Counselor | 7200 Bancroft Ave, Oakland, CA 94605-2403 | 2019-10-09 |
| 1114580636 | Sarah G Chaaito | Pharmacist | 7200 Bancroft Ave, Oakland, CA 94605-2403 | 2019-04-19 |
| 1558848796 | Kristina Marie Nestlerode | Counselor | 7200 Bancroft Ave, Oakland, CA 94605 | 2018-07-20 |
| 1558875864 | Lizeth Corina Torres Chavez | Specialist | 7200 Bancroft Ave, Oakland, CA 94605-2403 | 2017-11-22 |
| 1932637915 | Binh T Au | Social Worker | 7200 Bancroft Ave, Oakland, CA 94605-2403 | 2017-06-02 |
| 1558808741 | Karina Gabriela Paredes | Specialist | 7200 Bancroft Ave, Ste 267, Oakland, CA 94605-2403 | 2017-01-25 |
| 1306383088 | Kally Price | Registered Nurse | 7200 Bancroft Ave, # 204, Oakland, CA 94605-2403 | 2017-01-19 |
| 1467998062 | Kuang Zong | Dietitian, Registered | 7200 Bancroft Ave, Oakland, CA 94605-2403 | 2017-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1285296475 | Veronica Aguila | Behavior Technician | 2949 Parker Ave, Oakland, CA 94605 | 2019-07-08 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| 1467930966 | Claudia Sanchez | Student in an Organized Health Care Education/Training Program | 7200 Bancroft Avenue, Suite 125d, Oakland, CA 94605 | 2018-08-06 |
| 1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
| 1497204010 | Nekeisha Maxie | Specialist | 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 | 2016-09-23 |
| 1073997110 | Sandra Lenoski | Social Worker | 7200 Bancroft Avenue, Building B, Suite 133, Oakland, CA 94605 | 2015-07-18 |
| 1366831414 | Wing Kit Leung | Physical Therapy Assistant | 2445 64th Ave, Oakland, CA 94605 | 2015-01-13 |
| 1558647735 | Jessica Welsh | Counselor | 8759 Mountain Blvd. Bldg. 69, Oakland, CA 94605 | 2011-11-01 |
| Find all providers in zip 94605 | ||||
| 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 |
|---|---|---|---|---|
| 1265030803 | Alana Lyn Kapust | Social Worker | 590 El Dorado Ave Unit 210, Oakland, CA 94611-5071 | 2020-10-15 |
| 1497377527 | Yurianna Hyechong Na | Social Worker | 1401 Jackson St Apt 501, Oakland, CA 94612-4086 | 2020-05-12 |
| 1861026080 | Urban Catalyst Psychotherapy, A Licensed Clinical Social Worker Corpor | Social Worker | 2700 International Blvd Ste 21, Oakland, CA 94601-1508 | 2020-02-26 |
| 1336789643 | Zosime Calame | Social Worker | 445 Bellevue Ave Ste 300, Oakland, CA 94610-4923 | 2020-01-14 |
| 1316581796 | Joaquin Turner | Social Worker | 2232 Ivy Dr Apt 27, Oakland, CA 94606-1942 | 2019-10-29 |
| 1699324152 | Brian Phanichkarn | Social Worker | 675 Hegenberger Rd Ste 214, Oakland, CA 94621-1989 | 2019-09-08 |
| 1306495007 | Winnie Zhi Liao | Social Worker | 400 Roland Way, Oakland, CA 94621-2012 | 2019-09-05 |
| 1225686314 | Victoria Anderson | Social Worker | 1038 57th St, Oakland, CA 94608-2706 | 2019-08-31 |
| 1881242279 | Lauren Martin | Social Worker | 5231 Market St, Oakland, CA 94608-3254 | 2019-08-28 |
| 1639723703 | Joanna La Torre | Social Worker | 4255 Howe St, Oakland, CA 94611-4704 | 2019-07-27 |
| Find all providers in OAKLAND | ||||
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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.