Marie Clark, is a
Community Health Worker based in San Francisco, California. Marie Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
101 Gough St, San Francisco, California. She can be reached at her office (for appointments etc.) via phone at
(415) 553-4490.
NPI number for Marie Clark is 1861601122 and her current mailing address is 101 Gough St, San Francisco, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861601122.
Healthcare Provider's Profile
Full Name | Marie Clark |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 101 Gough 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: 1861601122
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 06/16/2023
Medical Identifiers
Medical identifiers for Marie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861601122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | R1247580417 (California) | Secondary |
172V00000X | Community Health Worker | (* (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. 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 |
Marie Clark, 101 Gough St, San Francisco, CA 94102-5903 Ph: (415) 553-4490 | Marie Clark, 101 Gough St, San Francisco, CA 94102-5903 Ph: (415) 553-4490 |
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