Edith Clark, is a
Peer Specialist based in San Francisco, California. Edith Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
1500 Franklin St, San Francisco, California. She can be reached at her office (for appointments etc.) via phone at
(415) 474-7310.
NPI number for Edith Clark is 1730552316 and her current mailing address is 1500 Franklin St, San Francisco, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730552316.
Healthcare Provider's Profile
Full Name | Edith Clark |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 1500 Franklin St, San Francisco, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730552316
- Provider Enumeration Date: 11/04/2015
- Last Update Date: 06/25/2020
Medical Identifiers
Medical identifiers for Edith Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730552316 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
175T00000X | Peer Specialist | (* (Not Available)) | 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. Edith 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 |
Edith Clark, 1500 Franklin St, San Francisco, CA 94109-4523 Ph: (415) 474-7310 | Edith Clark, 1500 Franklin St, San Francisco, CA 94109-4523 Ph: (415) 474-7310 |
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