Lynne Marian Clark, MSW/LICSW/MFT is a medicare enrolled "Social Worker - Clinical" provider in Sun City West, Arizona. Her current practice location is
12714 W Crystal Lake Dr, Sun City West, Arizona. You can reach out to her office (for appointments etc.) via phone at
(208) 770-0718.
Lynne Marian Clark is licensed to practice in Arizona (license number LCSW22333) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437439775.
Healthcare Provider's Profile
Full Name | Lynne Marian Clark |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 12714 W Crystal Lake Dr, Sun City West, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437439775
- Provider Enumeration Date: 08/18/2011
- Last Update Date: 10/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547589335
- Enrollment ID: I20180126002497
Medical Identifiers
Medical identifiers for Lynne Marian Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437439775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LCSW-35243 (Idaho) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW22333 (Arizona) | 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. Lynne Marian Clark is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lynne Marian Clark, MSW/LICSW/MFT 12714 W Crystal Lake Dr, Sun City West, AZ 85375-2568 Ph: (208) 770-0718 | Lynne Marian Clark, MSW/LICSW/MFT 12714 W Crystal Lake Dr, Sun City West, AZ 85375-2568 Ph: (208) 770-0718 |
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