1. Home
  2. Directory
  3. Louisiana
  4. Ruston
  5. Case Manager Care Coordinator
  6. NPI Profile

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

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 02, 2026.

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

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
Open in Google Maps ↗

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 23 months 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.