Carla Clark, is a
Social Worker - Clinical based in Columbus, Ohio. Carla Clark is licensed to practice in Ohio (license number I.900145) and her current practice location is
2440 Dawnlight Ave, Columbus, Ohio. She can be reached at her office (for appointments etc.) via phone at
(614) 481-5050.
NPI number for Carla Clark is 1114385606 and her current mailing address is 2440 Dawnlight Ave, Columbus, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114385606.
Healthcare Provider's Profile
Full Name | Carla Clark |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2440 Dawnlight Ave, Columbus, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114385606
- Provider Enumeration Date: 01/29/2016
- Last Update Date: 01/29/2016
Medical Identifiers
Medical identifiers for Carla Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114385606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | ICDC.111008-CS (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | I.900145 (Ohio) | 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. Carla 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 |
Carla Clark, 2440 Dawnlight Ave, Columbus, OH 43211-1934 Ph: (614) 481-5050 | Carla Clark, 2440 Dawnlight Ave, Columbus, OH 43211-1934 Ph: (614) 481-5050 |
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