Melissa Yvonne Clark, LMSW, CAADC is a
Social Worker - Clinical based in Grand Rapids, Michigan. Melissa Yvonne Clark is licensed to practice in Michigan (license number 6801088061) and her current practice location is
1131 Ionia Ave Nw, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 710-7729.
NPI number for Melissa Yvonne Clark is 1518236900 and her current mailing address is 100 Cherry St Se, Grand Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518236900.
Healthcare Provider's Profile
Full Name | Melissa Yvonne Clark |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1131 Ionia Ave Nw, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518236900
- Provider Enumeration Date: 12/14/2011
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Melissa Yvonne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518236900 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | C-01497 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6801088061 (Michigan) | 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. Melissa Yvonne 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 |
Melissa Yvonne Clark, LMSW, CAADC 100 Cherry St Se, Grand Rapids, MI 49503-4526 Ph: (616) 965-8200 | Melissa Yvonne Clark, LMSW, CAADC 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 Ph: (616) 710-7729 |
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