Kacia Clark, is a
Peer Specialist based in University Place, Washington. Kacia Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
7610 40th St W Ste 300, University Place, Washington. She can be reached at her office (for appointments etc.) via phone at
(253) 830-6242.
NPI number for Kacia Clark is 1760922801 and her current mailing address is 7610 40th St W Ste 300, University Place, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760922801.
Healthcare Provider's Profile
Full Name | Kacia Clark |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 7610 40th St W Ste 300, University Place, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760922801
- Provider Enumeration Date: 03/07/2017
- Last Update Date: 12/07/2018
Medical Identifiers
Medical identifiers for Kacia Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760922801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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. Kacia 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 |
Kacia Clark, 7610 40th St W Ste 300, University Place, WA 98466-3834 Ph: (253) 830-6242 | Kacia Clark, 7610 40th St W Ste 300, University Place, WA 98466-3834 Ph: (253) 830-6242 |
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