Clark Children and Family Services

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

CLARK CHILDREN AND FAMILY SERVICES

Practice address

633 Ashford Dr NE
Cedar Rapids, IA 52402-7338

Phone

(319) 431-5145

NPI assigned

Aug 27, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Monique Clark

Title

Ceo

Phone

(319) 431-5145

Specialties & licenses 5

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1164035325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 ASHFORD DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027338",
            "telephone_number": "319-431-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 ASHFORD DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027338",
            "telephone_number": "319-431-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK CHILDREN AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-27",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-431-5145"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CK Family Chiropractic, LLC
• Sara Jean Claeys
• Joanna L Clancy, DMD
• Whitney Clarahan
• Clark and Associates, Inc.
• Ashlynne Harris Clark, M.D.
• Craig E Clark, M. D.
• Craig Leo Clark, RPH
• Elias Gerrit Clark
• Elizabeth Jazz Clark, TLMHC

• Foster Care Agency in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Foster Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.