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KORTNEY BOOTH CLARK CASE MANAGEMENT
NPI 1477024149
Case Manager/Care Coordinator in Evanston, WY

Active since December 06, 2018
322 GANNETT DR, EVANSTON, WY 82930(307) 679-7105 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kortney Booth Clark Case Management NPPES

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

KORTNEY BOOTH CLARK CASE MANAGEMENT (NPI 1477024149) is an individual case manager/care coordinator provider in Evanston, Wyoming and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1477024149
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKORTNEY BOOTH CLARKCredential: CASE MANAGEMENT
Location Address322 GANNETT DREvanston, WY 82930-8722
Mailing Address322 Gannett DrEvanston, WY 82930-8722 · (307) 679-7105
Phone(307) 679-7105
Sole ProprietorYes
Enumeration DateDecember 6, 2018
✔ NPI 1477024149 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.
322 GANNETT DR, Evanston, WY 82930
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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 Kortney Booth Clark's NPI number?

The NPI number for Kortney Booth Clark is 1477024149. It was assigned to this individual provider in the NPPES registry on December 6, 2018.

Where is Kortney Booth Clark located?

Kortney Booth Clark practices at 322 Gannett Dr, Evanston, WY 82930. The listed phone number is (307) 679-7105.

What is Kortney Booth 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 Kortney Booth Clark was last updated on December 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.