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KELLY CLARK
NPI 1245566272
Case Manager/Care Coordinator in Laplata, MD

Active since October 27, 2009
6100 RADIO STATION ROAD, LAPLATA, MD 20646(301) 609-9887(301) 609-7284 Get Directions Write a Review

NPPES record last updated: October 27, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Clark NPPES

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

KELLY CLARK (NPI 1245566272) is an individual case manager/care coordinator provider in Laplata, Maryland and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1245566272
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKELLY CLARK
Location Address6100 RADIO STATION ROADLaplata, MD 20646
Mailing AddressPo Box 2924La Plata, MD 20646-2984 · (301) 609-9887 · Fax (301) 609-7284
Phone(301) 609-9887
Fax(301) 609-7284
Sole ProprietorNo
Enumeration DateOctober 27, 2009
✔ NPI 1245566272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
6100 RADIO STATION ROAD, Laplata, MD 20646
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Other Identifiers 1

Medicaid589561800MD

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.

DEANA REYNOLDS RIOS LCPC
Counselor (Professional)
6100 RADIO STATION ROAD
LAPLATA, MD 20646
Charles County (301) 609-9887
CENTER FOR CHILDREN INC
Community/Behavioral Health
6100 RADIO STATION ROAD
LA PLATA, MD 20646
Charles County (301) 609-9887
LAURIE D GAMBLE LCSW-C
Social Worker (Clinical)
6100 RADIO STATION ROAD
LAPLATA, MD 20646
Charles County (301) 609-9887
DOLORES APPELL LGSW
Social Worker
6100 RADIO STATION ROAD
LA PLATA, MD 20646
Charles County (301) 609-9887
ELAINE DENNING LCPC
Counselor (Professional)
6100 RADIO STATION ROAD
LA PLATA, MD 20646
Charles County (301) 609-9887
MICHELLE BACK LCSW-C
Social Worker (Clinical)
6100 RADIO STATION ROAD
LAPLATA, MD 20646
Charles County (301) 609-9887
CAITLIN WILPONE-JORDAN
Counselor (Mental Health)
6100 RADIO STATION ROAD
LA PLATA, MD 20646
Charles County (301) 609-9887
LAUREN ANNE BARK LGPAT
Counselor (Mental Health)
6100 RADIO STATION ROAD
LA PLATA, MD 20646
Charles County (301) 609-9887

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 1245566272. It was assigned to this individual provider in the NPPES registry on October 27, 2009.

Where is Kelly Clark located?

Kelly Clark practices at 6100 Radio Station Road, Laplata, MD 20646. The listed phone number is (301) 609-9887.

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 October 27, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.