Brianna Lyn Clark, LCSW is a
Student In An Organized Health Care Education/training Program based in Rensselaer, New York. Brianna Lyn Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
620 Washington Ave, Rensselaer, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 272-7073.
NPI number for Brianna Lyn Clark is 1124527387 and her current mailing address is 200 Trillium Ln Ste 6, Albany, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124527387.
Healthcare Provider's Profile
| Full Name | Brianna Lyn Clark |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 620 Washington Ave, Rensselaer, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124527387
- Provider Enumeration Date: 02/02/2018
- Last Update Date: 10/04/2022
Medical Identifiers
Medical identifiers for Brianna Lyn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124527387 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 092224 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brianna Lyn Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brianna Lyn Clark, LCSW
200 Trillium Ln Ste 6,
Albany, NY 12203-3818
Ph: (860) 884-1036 | Brianna Lyn Clark, LCSW
620 Washington Ave,
Rensselaer, NY 12144-1300
Ph: (518) 272-7073 |
Reviews and Comments