Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922512607 Individual Practitioner Male Practitioner

Frederick Clark

Case Manager/Care Coordinator • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Frederick Clark is a registered healthcare professional specializing in Case Manager/Care Coordinator in Grand Rapids, MI. Practice services are available at 3300 36TH ST SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3300 36th St Se

Grand Rapids, MI 495122810

Telephone 6168315660
Associated Practice Facility / Clinic
🏢 Wedgwood Christian Services Facility NPI 1215047667

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
276 Specialists

Practicing in Grand Rapids, MI (4620 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-13
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2910854 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Katherine Kunnen , DNP, FNP-C, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003342551

Doctor of Nursing Practice, Family Nurse Practitioner (Certified), Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Kara Stehouwer

Behavior Technician

NPI 1003432808
Megan Johnson , BCBA

Behavior Analyst

NPI 1003451006

Board Certified Behavior Analyst

Malinna Mack

Behavior Technician

NPI 1003794710
Aleigha Droughn

Behavior Analyst

NPI 1013576891
Matthew Mannikko

Behavior Technician

NPI 1013669803

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 17, 2025

Registered at 3300 36TH ST SE, GRAND RAPIDS, MI 495122810 (Tel: 6168315660)

📍
Updated Business Mailing Address March 17, 2025

Registered at 3300 36TH ST SE, GRAND RAPIDS, MI 495122810 (Tel: 6168315660)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2025

Behavior Technician

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2021

Case Manager/Care Coordinator

NPI Profile Active November 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 17, 2017

Registered at 41521 W 11 MILE RD, NOVI, MI 483751803 (Tel: 8042446728)

📍
Updated Business Mailing Address November 17, 2017

Registered at 1800 N MCCORD RD, TOLEDO, OH 436158702

👤
Provider Name / Credentials Updated November 17, 2017

Recorded as FREDERICK CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2017

Behavior Technician

🟢
Initial NPI Registration & Enumeration November 17, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922512607
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2017
Last Update: March 17, 2025
Sole Proprietor: No

Mailing Address

3300 36th St Se

Grand Rapids, MI 495122810

Phone: 6168315660

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.