Sherri L Clark, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

L8-0010234 Issued in DE

Practice address

1326 S Governors Ave
Dover, DE 19904-4800

Phone

(302) 612-0352

Fax

(224) 353-4867

NPI assigned

Jan 11, 2021

Last updated

Sep 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Sherri Cleveland Former name

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sherri.clark.1@31219.direct.athenahealth.com
• Direct secure messaging: sherriclark@breakingbarriersllc.kareodirect.com

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.

• Breaking Barriers LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dover, DE
  • NPI 1205583515

  Single Specialty

  Medicare reassignment NPD Authorized official
• A Center for Mental Wellness, Inc.

  • Mental Health Counselor
  • Dover, DE
  • NPI 1639325822

  Single Specialty

  Medicare reassignment NPD
• Anew Mental Health

  • Mental Health Counselor
  • Dover, DE
  • NPI 1780092528

  Single Specialty

  Medicare reassignment NPD
• Uhs of Dover LLC

  dba Dover Behavioral Health

  • Psychiatric Hospital
  • Dover, DE
  • NPI 1083708689

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630713600000",
    "number": "1366031726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 S GOVERNORS AVE",
            "address_2": "STE C",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044800",
            "telephone_number": "302-612-0352",
            "fax_number": "302-566-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044800",
            "telephone_number": "302-612-0352",
            "fax_number": "224-353-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SHERRI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRI",
            "last_name": "CLEVELAND",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey P Cirks, PA-C
• Clarity Counseling of Delaware, Inc.
• Lauren E Clark Stratton, ATR-BC, LPAT
• Gail M Clark, LPCMH
• Lisa Ann Clark, LCSW
• Tameka Nikeshia Clarke
• Aigner Clarkson
• Chelsea Classo
• Jessica Clausen, PT, DPT, ATC
• Clear Hope (Visiting Angels of Central DE)

• Psychiatric/Mental Health Nurse Practitioner in Dover, DE
• Providers in Dover, DE by specialty
• Psychiatric/Mental Health Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.