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TERESA OCTAVIA CLARK QP
NPI 1962931733
Case Manager/Care Coordinator in Shreveport, LA

Active since June 06, 2017
9403 MANSFIELD RD, SHREVEPORT, LA 71118(318) 861-8938(318) 862-3554 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2019, Jun 6, 2017 (2 updates tracked since 2017).

About Teresa Octavia Clark Qp NPPES

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

TERESA OCTAVIA CLARK QP (NPI 1962931733) is an individual case manager/care coordinator provider in Shreveport, Louisiana and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1962931733
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameTERESA OCTAVIA CLARKCredential: QP
Location Address9403 MANSFIELD RDShreveport, LA 71118-3815
Mailing Address9403 Mansfield RdShreveport, LA 71118-3815 · (318) 861-8938 · Fax (318) 862-3554
Phone(318) 861-8938
Fax(318) 862-3554
Sole ProprietorYes
Enumeration DateJune 6, 2017
Last NPPES UpdateAugust 14, 20192 updates tracked since enumeration
✔ NPI 1962931733 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.
9403 MANSFIELD RD, Shreveport, LA 71118
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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.

KRISTY KERCHELL JONES
Case Manager/Care Coordinator
9403 MANSFIELD RD
SHREVEPORT, LA 71118
Caddo Parish (318) 861-8938
JESSICA BOYD
Case Manager/Care Coordinator
9403 MANSFIELD RD
SHREVEPORT, LA 71118
Caddo Parish (318) 861-8938
ADRIANNA LOYD
Case Manager/Care Coordinator
9403 MANSFIELD RD
SHREVEPORT, LA 71118
Caddo Parish (318) 861-8938
ARNIESHA D KEENER
Case Manager/Care Coordinator
9403 MANSFIELD RD
SHREVEPORT, LA 71118
Caddo Parish (318) 861-8938
KHALA DESHAWN SCOTT MSW
Case Manager/Care Coordinator
9403 MANSFIELD RD
SHREVEPORT, LA 71118
Caddo Parish (318) 861-8938
CANDACE SINGER
Case Manager/Care Coordinator
9403 MANSFIELD RD
SHREVEPORT, LA 71118
Caddo Parish (318) 773-3583
ELIZABETH PRUITT M.ED
Case Manager/Care Coordinator
9403 MANSFIELD RD
SHREVEPORT, LA 71118
Caddo Parish (318) 861-8938
KAYLA R WILLIAMS
Case Manager/Care Coordinator
9403 MANSFIELD RD
SHREVEPORT, LA 71118
Caddo Parish (318) 861-8938

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 Teresa Clark's NPI number?

The NPI number for Teresa Clark is 1962931733. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Teresa Clark located?

Teresa Clark practices at 9403 Mansfield Rd, Shreveport, LA 71118. The listed phone number is (318) 861-8938.

What is Teresa 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 Teresa Clark was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.