VICTORIA ANN CLARK (NPI# 1972153757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972153757 |
Entity Type | Individual |
Full Name | VICTORIA ANN CLARK |
Credential | MS, NCC, CDC I |
Practice Address |
1840 Bragaw St Ste 110 Anchorage AK 99508-3463 |
Mailing Address |
Po Box 1947 Kenai AK 99611-1947 |
Practice Telephone | 9072523343 |
Mailing Telephone | 9072523343 |
Enumeration Date | 2019-09-13 |
Last Update Date | 2019-09-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609399427 | Victoria Regina Clark | Physician Assistant | 113 Sutton Dr, Berkeley Heights, NJ 07922-2510 | 2017-07-24 |
1730567082 | Victoria Ann Clark | Counselor | 4300 Sw Sw 13th Street, Gainesville, FL 32608 | 2015-05-07 |
1487073052 | Victoria Clark | Counselor | 1319 Brown St, Martinez, CA 94553-1924 | 2014-04-10 |
1215588462 | Victoria Clark | Advanced Practice Midwife | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-09-27 |
1205494275 | Victoria Clark | Occupational Therapist | 550 Saint Charles Dr Ste 100, Thousand Oaks, CA 91360-3969 | 2019-06-04 |
1568924082 | Victoria Clark | Registered Nurse | 125 W Mission Ave, Escondido, CA 92025-1720 | 2019-04-03 |
1831614494 | Victoria Lea Clark | Case Manager/Care Coordinator | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2017-08-04 |
1053764076 | Victoria Clark | Physician Assistant | 1 Robert Wood Johnson Pl, Room 396, New Brunswick, NJ 08901-1928 | 2016-07-14 |
1346699733 | Victoria E Clark | Neurological Surgery | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2016-06-07 |
1457705915 | Victoria Lee Clark | Dietitian, Registered | Va San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA 92161-0001 | 2016-04-20 |
Street Address |
1840 BRAGAW ST STE 110 |
City | ANCHORAGE |
State | AK |
Zip Code | 99508-3463 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437588043 | Michael Jay Horton | Counselor | 1840 Bragaw St Ste 110, Anchorage, AK 99508-3463 | 2013-11-04 |
1578103701 | Erica Lasha Woods | Social Worker | 1840 Bragaw St Ste 110, Anchorage, AK 99508-3463 | 2020-01-15 |
1043860604 | Danielle Lea Larsgaard | Counselor | 1840 Bragaw St Ste 110, Anchorage, AK 99508-3463 | 2019-09-16 |
1710533179 | Cheryl Anne Smith | Counselor | 1840 Bragaw St Ste 110, Anchorage, AK 99508-3463 | 2019-08-12 |
1760954184 | August Charles Aga Sr. | Counselor | 1840 Bragaw St Ste 110, Anchorage, AK 99508-3463 | 2018-12-24 |
1225530850 | Gabriel Ntimeh Achakeng | Counselor | 1840 Bragaw St Ste 110, Anchorage, AK 99508-3463 | 2018-02-28 |
1528588738 | Joseph Nyholm | Dietitian, Registered | 1840 Bragaw St Ste 110, Anchorage, AK 99508-3463 | 2017-06-20 |
1346783347 | Tosha Saincome | Counselor | 1840 Bragaw St Ste 110, Anchorage, AK 99508-3463 | 2016-11-22 |
1477930311 | Phoebe Proudfoot | Counselor | 1840 Bragaw St Ste 110, Anchorage, AK 99508-3463 | 2015-04-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
Find all providers in zip 99508 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295334993 | Terria Jean Vandenhuerk | Counselor | 7125 Old Seward Hwy Ste 201, Anchorage, AK 99518-2282 | 2020-10-22 |
1558980938 | Theresa Johnson | Counselor | 3230 C St Ste 100, Anchorage, AK 99503-3918 | 2020-04-15 |
1548896293 | Yazmin B Sanchez | Counselor | 3760 Piper St Ste 1090, Anchorage, AK 99508-4683 | 2020-03-13 |
1205470572 | Briana Salome Pili | Counselor | 741 N Bunn St Apt 1, Anchorage, AK 99508-1696 | 2019-10-30 |
1104460484 | Erica Lolesio | Counselor | 741 N Bunn St Apt 3, Anchorage, AK 99508-1696 | 2019-10-30 |
1609410901 | Maggie May Rhodes | Counselor | 741 N Bunn St Apt 4, Anchorage, AK 99508-1696 | 2019-10-30 |
1598327074 | Anna Sappah | Counselor | 401 W International Airport Rd Ste 27, Anchorage, AK 99518-1168 | 2019-07-03 |
1902463581 | Karsandra Dianne Higuera | Counselor | 400 W Tudor Rd Ste A400, Anchorage, AK 99503-6652 | 2019-05-20 |
1760047575 | Kelli Lynne Hyden | Counselor | 3600 San Jeronimo Dr Ste 201, Anchorage, AK 99508-2870 | 2019-05-07 |
1396244893 | Eydie Yvonne Flygare | Counselor | 8131 Medellin Cir Unit A, Anchorage, AK 99507-3270 | 2018-02-09 |
Find all providers in ANCHORAGE |
Please comment or provide details below to improve the information on VICTORIA ANN 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.