Vickie J Clark, MSW PLCSW is a
Social Worker - Clinical based in St Joseph, Missouri. Vickie J Clark is licensed to practice in Missouri (license number P005563) and her current practice location is
2303 Village Dr, St Joseph, Missouri. She can be reached at her office (for appointments etc.) via phone at
(816) 232-4417.
NPI number for Vickie J Clark is 1376502369 and her current mailing address is Po Box 8612, St Joseph, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376502369.
Healthcare Provider's Profile
Full Name | Vickie J Clark |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2303 Village Dr, St Joseph, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376502369
- Provider Enumeration Date: 03/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Vickie J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376502369 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | P005563 (Missouri) | 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. Vickie J 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 |
Vickie J Clark, MSW PLCSW Po Box 8612, St Joseph, MO 64508-8612 Ph: (816) 232-4417 | Vickie J Clark, MSW PLCSW 2303 Village Dr, St Joseph, MO 64506-4954 Ph: (816) 232-4417 |
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