Courtney Marie Clark, LLMSW is a
Social Worker - Clinical based in Clarklake, Michigan. Courtney Marie Clark is licensed to practice in Michigan (license number 6851114345) and her current practice location is
8288 N Shore Dr, Clarklake, Michigan. She can be reached at her office (for appointments etc.) via phone at
(571) 262-7189.
NPI number for Courtney Marie Clark is 1649911595 and her current mailing address is 300 Bailey St Ste 2, East Lansing, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649911595.
Healthcare Provider's Profile
Full Name | Courtney Marie Clark |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 8288 N Shore Dr, Clarklake, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649911595
- Provider Enumeration Date: 04/05/2022
- Last Update Date: 04/05/2022
Medical Identifiers
Medical identifiers for Courtney Marie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649911595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6851114345 (Michigan) | 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. Courtney Marie 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 |
Courtney Marie Clark, LLMSW 300 Bailey St Ste 2, East Lansing, MI 48823-4444 Ph: (517) 273-2706 | Courtney Marie Clark, LLMSW 8288 N Shore Dr, Clarklake, MI 49234-9792 Ph: (571) 262-7189 |
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