| Dr Carissa J Van Den Berk-clark, PHD, LCSW | |
|
805 Saint Francis Way, Litchfield, IL 62056-1779 | |
| (217) 250-2380 | |
| Not Available |
| Full Name | Dr Carissa J Van Den Berk-clark |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 805 Saint Francis Way, Litchfield, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609625136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2022015061 (Missouri) | Secondary |
| 1041C0700X | Social Worker - Clinical | 150.103768 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carissa J Van Den Berk-clark, PHD, LCSW 1008 S Spring Ave, Saint Louis, MO 63110-2520 Ph: (314) 977-4840 | Dr Carissa J Van Den Berk-clark, PHD, LCSW 805 Saint Francis Way, Litchfield, IL 62056-1779 Ph: (217) 250-2380 |
Mr. Jennifer S Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1285 Franciscan Dr, Litchfield, IL 62056 Phone: 217-324-6127 Fax: 217-324-5959 | |
Katherine Johnson, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 805 Saint Francis Way, Litchfield, IL 62056 Phone: 217-839-4141 |