MRS. ANTOINETTE KELLY-CLARK
NPI 1417638800
Case Manager/Care Coordinator in Ruston, LA

Q: What is Antoinette Kelly-clark's NPI number?

The NPI number for Antoinette Kelly-clark is 1417638800. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Q: What is Antoinette Kelly-clark's specialty?

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

Active since July 27, 2023

171 WATER TANK RD, RUSTON, LA 71270(318) 548-7242 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 22, 2024, Jul 27, 2023 (2 updates tracked since 2023).

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About Mrs. Antoinette Kelly-clark NPPES

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

MRS. ANTOINETTE KELLY-CLARK (NPI 1417638800) is an individual case manager/care coordinator provider in Ruston, Louisiana and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1417638800

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameMRS. ANTOINETTE KELLY-CLARK

Location Address171 WATER TANK RDRuston, LA 71270-8550

Mailing Address171 Water Tank RdRuston, LA 71270-8550 · (318) 548-7242

Phone(318) 548-7242

Sole ProprietorNo

Enumeration DateJuly 27, 2023

Last NPPES UpdateAugust 22, 20242 updates tracked since enumeration

NPPES CertifiedAugust 22, 2024

✔ NPI 1417638800 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 ListedPsychologist · CounselingTaxonomy 103TC1900X

171 WATER TANK RD, Ruston, LA 71270

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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 Antoinette Kelly-clark's NPI number?

The NPI number for Antoinette Kelly-clark is 1417638800. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Where is Antoinette Kelly-clark located?

Antoinette Kelly-clark practices at 171 Water Tank Rd, Ruston, LA 71270. The listed phone number is (318) 548-7242.

What is Antoinette 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 Antoinette Kelly-clark was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.