Mrs Thewana Lakesha Clark, LCSW is a
Social Worker - Clinical based in Apison, Tennessee. Mrs Thewana Lakesha Clark is licensed to practice in Tennessee (license number LSW0000005413) and her current practice location is
3558 Hawks Creek Dr, Apison, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 987-5636.
NPI number for Mrs Thewana Lakesha Clark is 1447976089 and her current mailing address is 3558 Hawks Creek Dr, Apison, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447976089.
Healthcare Provider's Profile
Full Name | Mrs Thewana Lakesha Clark |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3558 Hawks Creek Dr, Apison, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447976089
- Provider Enumeration Date: 10/17/2022
- Last Update Date: 10/17/2022
Medical Identifiers
Medical identifiers for Mrs Thewana Lakesha Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447976089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LSW0000005413 (Tennessee) | 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. Mrs Thewana Lakesha 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 |
Mrs Thewana Lakesha Clark, LCSW 3558 Hawks Creek Dr, Apison, TN 37302-6000 Ph: () - | Mrs Thewana Lakesha Clark, LCSW 3558 Hawks Creek Dr, Apison, TN 37302-6000 Ph: (423) 987-5636 |
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