Tara Lynn Clark, LMHC, LSWAIC, MSW is a
Counselor - Mental Health based in Wenatchee, Washington. Tara Lynn Clark is licensed to practice in Washington (license number LH61072662) and her current practice location is
3539 Dianna Way, Wenatchee, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 334-7123.
NPI number for Tara Lynn Clark is 1376853762 and her current mailing address is 1250 N Wenatchee Ave Ste H, #330, Wenatchee, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376853762.
Healthcare Provider's Profile
| Full Name | Tara Lynn Clark |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 3539 Dianna Way, Wenatchee, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1376853762
- Provider Enumeration Date: 10/19/2010
- Last Update Date: 07/31/2020
Medical Identifiers
Medical identifiers for Tara Lynn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376853762 | NPI | - | NPPES |
| 2102809 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | SC60863365 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | LH61072662 (Washington) | 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. Tara Lynn 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 |
|---|
Tara Lynn Clark, LMHC, LSWAIC, MSW
1250 N Wenatchee Ave Ste H, #330,
Wenatchee, WA 98801-1599
Ph: (509) 334-7123 | Tara Lynn Clark, LMHC, LSWAIC, MSW
3539 Dianna Way,
Wenatchee, WA 98801-9142
Ph: (509) 334-7123 |
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