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KELLY J CLARK RMA
NPI 1194307140
Case Manager/Care Coordinator in Saginaw, MI

Active since April 28, 2021
500 HANCOCK ST, SAGINAW, MI 48602(989) 797-3400(989) 799-0206 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly J Clark Rma NPPES

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

KELLY J CLARK RMA (NPI 1194307140) is an individual case manager/care coordinator provider in Saginaw, Michigan, licensed in Illinois (182082) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1194307140
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKELLY J CLARKCredential: RMA
Location Address500 HANCOCK STSaginaw, MI 48602-4224
Mailing Address500 Hancock StSaginaw, MI 48602-4224 · (989) 797-3400 · Fax (989) 799-0206
Phone(989) 797-3400
Fax(989) 799-0206
Sole ProprietorYes
Enumeration DateApril 28, 2021
NPPES CertifiedApril 28, 2021
✔ NPI 1194307140 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 IL · 182082
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.
500 HANCOCK ST, Saginaw, MI 48602
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Other Providers at the Same Location NPPES 20

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

MS. DIANE L STOVER LBSW
Social Worker
500 HANCOCK ST
SAGINAW, MI 48602
Saginaw County (989) 797-3565
ANDREA CAMPBELL
Social Worker (Clinical)
500 HANCOCK ST
SAGINAW, MI 48602
Saginaw County (989) 797-3526
LINDA CIERZNIEWSKI
Registered Nurse
500 HANCOCK ST
SAGINAW, MI 48602
Saginaw County (989) 797-3400
MORGAN DEWITT NOTESTINE CPSS
Community Health Worker
500 HANCOCK ST
SAGINAW, MI 48602
Saginaw County (989) 498-2260
JAMIE ANN WALTER LMSW-C
Social Worker (Clinical)
500 HANCOCK ST
SAGINAW, MI 48602
Saginaw County (989) 863-1572
ANTHONY PATRICK LA RUE
Social Worker (Clinical)
500 HANCOCK ST
SAGINAW, MI 48602
Saginaw County (989) 797-3400
MRS. HEATHER LYNN RUBY-EWALD LMSW, ACSW
Social Worker (Clinical)
500 HANCOCK ST
SAGINAW, MI 48602
Saginaw County (989) 797-3512
AMANDA JUNE SMOCK
Case Manager/Care Coordinator
500 HANCOCK ST
SAGINAW, MI 48602
Saginaw County (989) 797-3400

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 Kelly Clark's NPI number?

The NPI number for Kelly Clark is 1194307140. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Kelly Clark located?

Kelly Clark practices at 500 Hancock St, Saginaw, MI 48602. The listed phone number is (989) 797-3400.

What is Kelly 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 Kelly Clark was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.