Faith Clark, MSW, LICSW, LADC is a
Social Worker - Clinical based in Two Harbors, Minnesota. Faith Clark is licensed to practice in Minnesota (license number 18726) and her current practice location is
227 7th St, Two Harbors, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 830-8085.
NPI number for Faith Clark is 1194282160 and her current mailing address is 227 7th St, Two Harbors, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194282160.
Healthcare Provider's Profile
Full Name | Faith Clark |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 227 7th St, Two Harbors, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194282160
- Provider Enumeration Date: 02/26/2019
- Last Update Date: 01/31/2022
Medical Identifiers
Medical identifiers for Faith Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194282160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 303205 (Minnesota) | Secondary |
1041C0700X | Social Worker - Clinical | 18726 (Minnesota) | 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. Faith 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 |
Faith Clark, MSW, LICSW, LADC 227 7th St, Two Harbors, MN 55616-1530 Ph: (218) 830-8085 | Faith Clark, MSW, LICSW, LADC 227 7th St, Two Harbors, MN 55616-1530 Ph: (218) 830-8085 |
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