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EDGEL CLARK RECOVERY ASSISTANT
NPI 1891083663
Case Manager/Care Coordinator in Conway, AR

Active since July 14, 2011
132 LOWER RIDGE RD, CONWAY, AR 72032(501) 548-9905 Get Directions Write a Review

NPPES record last updated: July 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edgel Clark Recovery Assistant NPPES

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

EDGEL CLARK RECOVERY ASSISTANT (NPI 1891083663) is an individual case manager/care coordinator provider in Conway, Arkansas and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1891083663
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameEDGEL CLARKCredential: RECOVERY ASSISTANT
Location Address132 LOWER RIDGE RDConway, AR 72032-8518
Mailing AddressPo Box 1589Benton, AR 72018-1589 · (501) 315-3344
Phone(501) 548-9905
Sole ProprietorNo
Enumeration DateJuly 14, 2011
✔ NPI 1891083663 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.
132 LOWER RIDGE RD, Conway, AR 72032
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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.

MR. JIMI HENDERSON SR. RECOVERY ASSISTANT
Case Manager/Care Coordinator
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 548-9905
KELVIN RIDGELL JR.
Case Manager/Care Coordinator
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 315-3344
TODD MCGUIRE
Counselor (Mental Health)
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 315-3344
CHIGOZIE P UDUEZUE
Case Manager/Care Coordinator
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 303-3105
CAROL MARIE KRETZMANN LPC
Counselor (Professional)
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 548-9905
RILEY GAMBILL RECOVERY ASSISTANT
Case Manager/Care Coordinator
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 548-9905
DIERRA LEE RECOVERY ASSISTANT
Case Manager/Care Coordinator
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 548-9905
JOSLYN ACKLIN
Case Manager/Care Coordinator
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 548-9905

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 Edgel Clark's NPI number?

The NPI number for Edgel Clark is 1891083663. It was assigned to this individual provider in the NPPES registry on July 14, 2011.

Where is Edgel Clark located?

Edgel Clark practices at 132 Lower Ridge Rd, Conway, AR 72032. The listed phone number is (501) 548-9905.

What is Edgel 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 Edgel Clark was last updated on July 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.