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HEIDI C. CLARK
NPI 1154614808
Case Manager/Care Coordinator in Kingston, WA

Active since May 26, 2011
31912 LITTLE BOSTON RD NE, KINGSTON, WA 98346(360) 633-1902 Get Directions Write a Review

NPPES record last updated: May 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heidi C. Clark NPPES

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

HEIDI C. CLARK (NPI 1154614808) is an individual case manager/care coordinator provider in Kingston, Washington, licensed in Washington (CP00005554) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1154614808
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameHEIDI C. CLARK
Location Address31912 LITTLE BOSTON RD NEKingston, WA 98346-9700
Mailing AddressPo Box 65Suquamish, WA 98392-0065 · (360) 265-0270
Phone(360) 633-1902
Sole ProprietorYes
Enumeration DateMay 26, 2011
✔ NPI 1154614808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in WA · CP00005554
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.
31912 LITTLE BOSTON RD NE, Kingston, WA 98346
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Other Providers at the Same Location NPPES 3

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

MR. JASON RAYDR-SCOTT GOMEZ SUDP
Counselor (Addiction (Substance Use Disorder))
31912 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Kitsap County (360) 297-6329
SUSAN KRALL
Counselor (Mental Health)
31912 LITTLE BOSTON RD NE
KINGSTON, WA 98346
Kitsap County (360) 297-6331
MS. COURTNEY ELIZABETH OLIVER CDP LMHC
Counselor (Addiction (Substance Use Disorder))
31912 LITTLE BOSTON RD NE, PORT GAMBLE SKLALLAM TRIBE
KINGSTON, WA 98346
Kitsap County (360) 297-6329

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 Heidi Clark's NPI number?

The NPI number for Heidi Clark is 1154614808. It was assigned to this individual provider in the NPPES registry on May 26, 2011.

Where is Heidi Clark located?

Heidi Clark practices at 31912 Little Boston Rd NE, Kingston, WA 98346. The listed phone number is (360) 633-1902.

What is Heidi 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 Heidi Clark was last updated on May 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.