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Deactivated NPI 1063188811 Deactivated / Inactive NPI Female Practitioner

Kiley Clark

Case Manager/Care Coordinator • Chillicothe, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kiley Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 20, 2021
NPI Deactivation Date June 14, 2023
Total Practice Duration ~2 Years of Practice (2021 – 2023)

Professional Overview & Biography Verified Profile Summary

Kiley Clark was a registered Case Manager/Care Coordinator practicing in Chillicothe, OH. Throughout an active medical career spanning 2 years, Kiley Clark provided care at the practice location at 312 E 2ND ST until profile deactivation on 2023-06-14.

Practice Location & Contact Primary Location

Practice Address

312 E 2nd St

Chillicothe, OH 456012639

Telephone 7407751270
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Chillicothe, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
145 Specialists

Practicing in Chillicothe, OH (35490 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

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.

Practice Associates & Co-Workers

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

31 Associated Practitioners
Jacqueline Whittle , RN

Registered Nurse

NPI 1063863611

Registered Nurse

Brenda Mooney , LSW

Social Worker - Clinical

NPI 1124077243

Licensed Social Worker

Marva Brown

Case Manager/Care Coordinator

NPI 1154816759
Lori Botchie

Case Manager/Care Coordinator

NPI 1245725720
Kimberly Trapp

Case Manager/Care Coordinator

NPI 1275027310
Judith Johnson

Case Manager/Care Coordinator

NPI 1316432891

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 14, 2023

Record deactivated on June 14, 2023

NPI Profile Active August 20, 2021

NPI status registered as active in NPPES database

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Updated Practice Location August 20, 2021

Registered at 312 E 2ND ST, CHILLICOTHE, OH 456012639 (Tel: 7407751270)

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Updated Business Mailing Address August 20, 2021

Registered at 4449 STATE ROUTE 159, CHILLICOTHE, OH 456018620

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Provider Name / Credentials Updated August 20, 2021

Recorded as KILEY CLARK

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2021

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration August 20, 2021

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: 1063188811
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2021
Last Update: August 20, 2021
Deactivation Date: June 14, 2023

Mailing Address

4449 State Route 159

Chillicothe, OH 456018620

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.