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MRS. GENESE CALLOWAY CLARK
NPI 1124668694
Case Manager/Care Coordinator in New Haven, CT

Active since January 13, 2020
458 GRAND AVE STE 103, NEW HAVEN, CT 06513(203) 850-4737 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Genese Calloway Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GENESE CALLOWAY CLARK (NPI 1124668694) is an individual case manager/care coordinator provider in New Haven, Connecticut and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1124668694
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMRS. GENESE CALLOWAY CLARK
Location Address458 GRAND AVE STE 103New Haven, CT 06513-3873
Mailing Address458 Grand Ave Ste 103New Haven, CT 06513-3873
Phone(203) 850-4737
Sole ProprietorYes
Enumeration DateJanuary 13, 2020
✔ NPI 1124668694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A 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.
Also ListedCounselorTaxonomy 101Y00000X
458 GRAND AVE STE 103, New Haven, CT 06513
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHANTAVIA MICHELLE CHAPPELL M.S.W., B.A., LMSW
Social Worker
458 GRAND AVE STE 103
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 752-1212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genese Clark's NPI number?

The NPI number for Genese Clark is 1124668694. It was assigned to this individual provider in the NPPES registry on January 13, 2020.

Where is Genese Clark located?

Genese Clark practices at 458 Grand Ave Ste 103, New Haven, CT 06513. The listed phone number is (203) 850-4737.

What is Genese Clark's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Genese Clark was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.