ROBERT SAMUEL CLARK NPI 1003420415

Case Manager/Care Coordinator in Salt Lake City, UT

NPI 1003420415 Individual Male Case Manager/Care Coordinator

About ROBERT CLARK

Robert Clark is a provider established in Salt Lake City, Utah and his medical specialization is case manager/care coordinator. The NPI number of Robert Clark is 1003420415 and was assigned on September 2020. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and his NPI record was last updated one year ago.

Robert Clark is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003420415

Provider Name ROBERT SAMUEL CLARK
Provider Location Address4460 S HIGHLAND DR STE 210 SALT LAKE CITY, UT 84124
Provider Mailing Address4460 S HIGHLAND DR STE 210 SALT LAKE CITY, UT 84124
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-02-2020
Last Update Date09-02-2020


Primary Taxonomy

Taxonomy Code171M00000X
ClassificationCase Manager/Care Coordinator
TypeOther Service Providers
Taxonomy DescriptionA person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Business Address

ROBERT SAMUEL CLARK
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT
ZIP 84124
Phone: (888) 949-4864

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Mailing Address

ROBERT SAMUEL CLARK
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT
ZIP 84124
Phone: (888) 949-4864



Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285842435 TAMARA LIN VITELA L.C.S.W.
Individual
Social Worker (Clinical)4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(888) 949-4864
1922464585 ANNELISE ALLEN
Individual
Counselor (Mental Health)4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(888) 949-4864
1407389786 BRITTANY AFU
Individual
Case Manager/Care Coordinator4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(888) 949-4864
1174009005 GENEAL HERRERA
Individual
Peer Specialist4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(888) 949-4864
1407204068 GALAAD CERVANTES
Individual
Case Manager/Care Coordinator4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(801) 683-4323
1386297455 CYNTHIA MALDONADO
Individual
Case Manager/Care Coordinator4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(888) 949-4864
1669025433 ROBIN BENDER
Individual
Case Manager/Care Coordinator4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(888) 949-4864
1225681976 RYLEE HOPE SMITH
Individual
Case Manager/Care Coordinator4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(888) 949-4864
1558914002 ABBY REBECCA BORGESON
Individual
Case Manager/Care Coordinator4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(888) 949-4864
1285287771 ELIZABETH WHEELWRIGHT STAUFFER
Individual
Case Manager/Care Coordinator4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(888) 949-4864
1629622360 MICHELLE M WALLING
Individual
Case Manager/Care Coordinator4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(888) 949-4864
1831743582 MCKAYLA L THOMAS
Individual
Case Manager/Care Coordinator4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(888) 949-4864
1548814270 ROBERT PEREZ
Individual
Case Manager/Care Coordinator4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(888) 949-4864
1801394481 SABRINA MEGAN BEEBE
Individual
Case Manager/Care Coordinator4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(888) 949-4864
1770139073 KARI LYNNE STURZENEGGER
Individual
Case Manager/Care Coordinator4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(888) 949-4864
1689078891 SHANA L BURCH
Individual
Case Manager/Care Coordinator4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(888) 949-4864
1336524339 CHRISTINA ROGERS
Individual
Counselor (Addiction (Substance Use Disorder))4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(888) 949-4864
1891078739MR. CHARLES MATTHEW ZOLLINGER
Individual
Counselor (Mental Health)4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(888) 949-4864
1700432093 LEEAH BREIANE MARIE RASMUSSEN
Individual
Case Manager/Care Coordinator4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(888) 949-4864
1972159168 AMBER MAREE CARLSON FERRIS
Individual
Case Manager/Care Coordinator4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
(888) 949-4864

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.