| Mr Jack Malcolm Clark Iii, LCSW | |
|
7711 Madonna, San Antonio, TX 78216-6620 | |
| (210) 377-1133 | |
| (210) 377-1230 |
| Full Name | Mr Jack Malcolm Clark Iii |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 7711 Madonna, San Antonio, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841311487 | NPI | - | NPPES |
| 87614Q | Other | TX | CLARK BCBS |
| 175693402 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 36151 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jack Malcolm Clark Iii, LCSW Brooke Army Medical Center, Ft. Sam Houston, TX 78234-4504 Ph: (210) 916-3704 | Mr Jack Malcolm Clark Iii, LCSW 7711 Madonna, San Antonio, TX 78216-6620 Ph: (210) 377-1133 |
Ms. Nadine Louise Garcia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6522 Camp Bullis Rd Apt 5203, San Antonio, TX 78256 Phone: 210-394-4868 | |
Mr. Elliot Joseph Cruz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4242 Medical Dr, 7100, San Antonio, TX 78229 Phone: 210-216-2739 | |
Ms. Lynette Edens Hutchins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25026 Summit Crk, San Antonio, TX 78258 Phone: 210-325-0660 | |
Melissa D Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7526 Louis Pasteur Dr, #318, San Antonio, TX 78229 Phone: 210-450-6450 | |
Karen C Keating, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4203 Woodcock Dr Ste 216, San Antonio, TX 78228 Phone: 210-564-9116 Fax: 210-564-9087 | |
Kevin Lynch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4835 Medical Dr. 40314, San Antonio, TX 78229 Phone: 210-367-6904 | |
Mrs. Denise Ann Flores, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 903 W Martin St, San Antonio, TX 78207 Phone: 210-358-5906 |