KATHLEEN S CLARK LSW
NPI 1720201098
Case Manager/Care Coordinator in Balsam Lake, WI

NPI Status: Active since April 11, 2007

Contact Information

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810
Phone: (715) 485-8415
Fax: (715) 485-8490

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  • Individual
  • Female
  • Case Manager/Care Coordinator

About KATHLEEN CLARK

This page provides the complete NPI Profile along with additional information for Kathleen Clark, a provider established in Balsam Lake, Wisconsin with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1720201098 assigned on April 2007. The practitioner's primary taxonomy code is 171M00000X with license number 1555 120 (WI). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1720201098
Provider Name
KATHLEEN S CLARK LSW
Gender
Female
Entity Type
Individual
Location Address
100 POLK COUNTY PLZ SUITE 50 BALSAM LAKE, WI 54810
Location Phone
(715) 485-8415
Location Fax
(715) 485-8490
Mailing Address
1968 150TH AVE SAINT CROIX FALLS, WI 54024
Mailing Phone
(715) 646-2033
Is Sole Proprietor?
No
Enumeration Date
04-11-2007
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
License No.
1555 120
License State
WI
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720201098
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740402018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 4 + 0 + 2 + 0 + 1 + 8 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1720201098 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MS. DEBRA ANN LESCHISIN RN-C

Nurse Practitioner

(Women's Health)

100 POLK COUNTY PLZ
SUITE 180
BALSAM LAKE, WI
ZIP 54810

(715) 485-8500

MR. PERRY J ANDERSON JR. MSW

Counselor

(Mental Health)

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810

(715) 485-8445

SHANNON M BRICE MSW

Counselor

(Mental Health)

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810

(715) 485-8430

WILLIAM J P ANDERSON CSAC

Counselor

(Addiction (Substance Use Disorder))

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810

(715) 485-8862

NANCY J CHRISTIE BA

Case Manager/Care Coordinator

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810

(715) 485-8467

LINDA A BUSCHMAN MS

Social Worker

(Clinical)

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810

(715) 485-8882

SARA C MEUTH MSW APSW

Social Worker

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810

(715) 485-8488

CORBY RAE STARK MA PC

Case Manager/Care Coordinator

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810

(715) 485-8842

CRAIG R ANDERSON BSW LSW

Case Manager/Care Coordinator

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810

(715) 485-8873

KATHLEEN M HERBISON KISTING CSAC

Counselor

(Addiction (Substance Use Disorder))

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810

(715) 485-8463

JOHN HALE LSW

Case Manager/Care Coordinator

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810

(715) 485-8417

DIANE M VOLTZ LSW

Case Manager/Care Coordinator

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810

(715) 485-8413

DIANE M TORRES LSW

Case Manager/Care Coordinator

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810

(715) 485-8428

DEBORAH L WALD LSW

Case Manager/Care Coordinator

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810

(715) 485-8424

DAVID N MOORE LSW

Case Manager/Care Coordinator

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810

(715) 485-8414

GERRY R MORGAN LSW

Case Manager/Care Coordinator

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810

(715) 485-8420

KATHLEEN M MCGURRAN LSW

Case Manager/Care Coordinator

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810

(715) 485-8455

NANCY LEE STEWART LSW

Case Manager/Care Coordinator

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810

(715) 485-8421

ANGELA JOY LSW

Case Manager/Care Coordinator

100 POLK COUNTY PLZ
SUITE 50
BALSAM LAKE, WI
ZIP 54810

(715) 485-8416

POLK COUNTY-DEPT OF ADMINISTRATION

Home Health

100 POLK COUNTY PLZ
SUITE 180
BALSAM LAKE, WI
ZIP 54810

(715) 485-8500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720201098, enumerated as an "individual" on April 11, 2007.

The provider is located at 100 POLK COUNTY PLZ SUITE 50 BALSAM LAKE, WI 54810 and the phone number is (715) 485-8415.

Case Manager/Care Coordinator with taxonomy code 171M00000X.