LANDREE GWEN CLARK QBHP-D
NPI 1487544953
Case Manager/Care Coordinator in Russellville, AR

Active since July 07, 2025
1310 W MAIN ST STE 100, RUSSELLVILLE, AR 72801(479) 968-2001 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 20, 2026, Jul 7, 2025 (2 updates tracked since 2025).

About Landree Gwen Clark Qbhp-d NPPES

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

LANDREE GWEN CLARK QBHP-D (NPI 1487544953) is an individual case manager/care coordinator provider in Russellville, Arkansas and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1487544953
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameLANDREE GWEN CLARKCredential: QBHP-D
Location Address1310 W MAIN ST STE 100Russellville, AR 72801-2803
Mailing Address1310 W Main St Ste 201Russellville, AR 72801-2803 · (479) 968-2001
Sole ProprietorNo
Enumeration DateJuly 7, 2025
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
NPI 1487544953 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.

1310 W MAIN ST STE 100, Russellville, AR 72801

Other Identifiers 1

Medicaid343234795AR

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.

Case Manager/Care Coordinator
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Case Manager/Care Coordinator
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Counselor (Mental Health)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Case Manager/Care Coordinator
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Case Manager/Care Coordinator
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Counselor (Mental Health)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Counselor (Professional)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Social Worker (Clinical)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487544953, enumerated as an "individual" on July 07, 2025.

The provider is located at 1310 W MAIN ST STE 100 RUSSELLVILLE, AR 72801 and the phone number is (479) 968-2001.

Case Manager/Care Coordinator with taxonomy code 171M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.