Bonnie Marie Clark, is a
Social Worker - Clinical based in Los Angeles, California. Bonnie Marie Clark is licensed to practice in California (license number 101228) and her current practice location is
3850 Crenshaw Blvd, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 751-3026.
NPI number for Bonnie Marie Clark is 1427744184 and her current mailing address is Po Box 26222, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427744184.
Healthcare Provider's Profile
Full Name | Bonnie Marie Clark |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3850 Crenshaw Blvd, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427744184
- Provider Enumeration Date: 04/14/2023
- Last Update Date: 08/08/2023
Medical Identifiers
Medical identifiers for Bonnie Marie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427744184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW101228 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 101228 (California) | 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. Bonnie Marie 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 |
Bonnie Marie Clark, Po Box 26222, Los Angeles, CA 90026-0222 Ph: (323) 751-3026 | Bonnie Marie Clark, 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 Ph: (323) 751-3026 |
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