Ella Clark, CM/SC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

28 Burke Rd
Delbarton, WV 25670-6041

Phone

(304) 444-2197

NPI assigned

Jan 15, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1740879535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BURKE RD",
            "city": "DELBARTON",
            "state": "WV",
            "postal_code": "256706041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BURKE RD",
            "city": "DELBARTON",
            "state": "WV",
            "postal_code": "256706041",
            "telephone_number": "304-444-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ELLA",
        "credential": "CM/SC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelia Marie Bragg
• Tiffany Joy Branham
• David Lee Bryant
• Rodney Bryce Chambers, M.ED., LPC, AADC
• Wanda Jean Chambers
• Mindy Marie Clements
• Carolyn Cline
• Lola Ann Cline
• Betty Ann Colangelo
• Joseph Ray Collins

• Case Manager/Care Coordinator in Delbarton, WV
• Providers in Delbarton, WV by specialty
• Case Manager/Care Coordinator in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.