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DEMETRIUS CLARK
NPI 1447772546
Case Manager/Care Coordinator in Baton Rouge, LA

Active since July 10, 2017
6044 INGRAM DR, BATON ROUGE, LA 70812(225) 315-2104 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 10, 2017 (2 updates tracked since 2017).

About Demetrius Clark NPPES

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

DEMETRIUS CLARK (NPI 1447772546) is an individual case manager/care coordinator provider in Baton Rouge, Louisiana and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1447772546
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameDEMETRIUS CLARK
Location Address6044 INGRAM DRBaton Rouge, LA 70812-2327
Mailing Address6044 Ingram DrBaton Rouge, LA 70812-2327 · (225) 315-2104
Phone(225) 315-2104
Sole ProprietorYes
Enumeration DateJuly 10, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1447772546 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 ListedBehavior TechnicianTaxonomy 106S00000X
6044 INGRAM DR, Baton Rouge, LA 70812
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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 Demetrius Clark's NPI number?

The NPI number for Demetrius Clark is 1447772546. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Where is Demetrius Clark located?

Demetrius Clark practices at 6044 Ingram Dr, Baton Rouge, LA 70812. The listed phone number is (225) 315-2104.

What is Demetrius 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 Demetrius Clark was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.