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KRISTIAN CLARK
NPI 1881145936
Case Manager/Care Coordinator in Poplar Bluff, MO

Active since October 24, 2016
3001 WARRIOR LN, POPLAR BLUFF, MO 63901(573) 686-1200 Get Directions Write a Review

NPPES record last updated: October 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristian Clark NPPES

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

KRISTIAN CLARK (NPI 1881145936) is an individual case manager/care coordinator provider in Poplar Bluff, Missouri and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1881145936
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKRISTIAN CLARK
Location Address3001 WARRIOR LNPoplar Bluff, MO 63901-8685
Mailing Address925 Hwy VvKennet, MO 63857 · (573) 888-5925
Phone(573) 686-1200
Sole ProprietorNo
Enumeration DateOctober 24, 2016
✔ NPI 1881145936 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.
3001 WARRIOR LN, Poplar Bluff, MO 63901
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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.

ALLYSON RAE FITZWATER
Community Health Worker
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
ERICA DANIELLE RAYMER
Case Manager/Care Coordinator
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
AUBREY NICOLE WADE
Behavior Technician
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
ASHLEY MATLOCK
Case Manager/Care Coordinator
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
MS. LYDIA ALPHA MABBITT LPC
Counselor (Professional)
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
JULIE ROSS LCSW
Social Worker (Clinical)
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
MS. CHRISTINA J CUNNINGHAM MS
Counselor
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
SHERIAL LYNN NANCE
Case Manager/Care Coordinator
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200

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 Kristian Clark's NPI number?

The NPI number for Kristian Clark is 1881145936. It was assigned to this individual provider in the NPPES registry on October 24, 2016.

Where is Kristian Clark located?

Kristian Clark practices at 3001 Warrior Ln, Poplar Bluff, MO 63901. The listed phone number is (573) 686-1200.

What is Kristian 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 Kristian Clark was last updated on October 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.