Mitchell Clark, is a
Community Health Worker based in San Francisco, California. Mitchell Clark is licensed to practice in * (Not Available) (license number ) and his current practice location is
921 Lincoln Way, San Francisco, California. He can be reached at his office (for appointments etc.) via phone at
(415) 664-1414.
NPI number for Mitchell Clark is 1205307204 and his current mailing address is 921 Lincoln Way, San Francisco, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205307204.
Healthcare Provider's Profile
| Full Name | Mitchell Clark |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 921 Lincoln Way, San Francisco, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205307204
- Provider Enumeration Date: 12/17/2018
- Last Update Date: 03/06/2021
Medical Identifiers
Medical identifiers for Mitchell Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205307204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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. Mitchell 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 |
|---|
Mitchell Clark,
921 Lincoln Way,
San Francisco, CA 94122-2210
Ph: (415) 664-1414 | Mitchell Clark,
921 Lincoln Way,
San Francisco, CA 94122-2210
Ph: (415) 664-1414 |
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