Mrs Elizabeth Clark, MSW is a
Social Worker - Clinical based in Beaumont, California. Mrs Elizabeth Clark is licensed to practice in California (license number 111816) and her current practice location is
11134 Michael Way, Beaumont, California. She can be reached at her office (for appointments etc.) via phone at
(909) 534-9873.
NPI number for Mrs Elizabeth Clark is 1396886719 and her current mailing address is 11134 Michael Way, Beaumont, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396886719.
Healthcare Provider's Profile
Full Name | Mrs Elizabeth Clark |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 11134 Michael Way, Beaumont, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396886719
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 10/16/2023
Medical Identifiers
Medical identifiers for Mrs Elizabeth Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396886719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 111816 (California) | 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. Mrs Elizabeth 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 |
Mrs Elizabeth Clark, MSW 11134 Michael Way, Beaumont, CA 92223-6255 Ph: (909) 534-9873 | Mrs Elizabeth Clark, MSW 11134 Michael Way, Beaumont, CA 92223-6255 Ph: (909) 534-9873 |
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