Daniel Charles Clark, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3829 S Duquesne Rd
Joplin, MO 64804-5409

Phone

(417) 206-3500

NPI assigned

Apr 12, 2007

Last updated

Jul 21, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Care Center for Change

  • Community/Behavioral Health Agency
  • Parsons, KS
  • NPI 1114356821
  NPD (past) Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1275757130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 S DUQUESNE RD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648045409",
            "telephone_number": "417-206-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 S DUQUESNE RD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648045409",
            "telephone_number": "417-206-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DANIEL",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Nicole Cibellis
• City of Joplin (Joplin City Health Department)
• Annie Clark
• Brianna Yvonne Clark, DO
• Cali Clark, DO, MBA
• Katherine Somers Clark, MS,RDN,CNSC,LD
• Kelly Clark, MS, CCC-SLP
• Matthew Joseph Clark
• Shannon Carol Clark, DDS
• Megan Dawn Clarkin, D.O.

• Clinical Social Worker in Joplin, MO
• Providers in Joplin, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.