Mr Brian Thomas Clark, LCSW, CASAC is a
Social Worker based in Brooklyn, New York. Mr Brian Thomas Clark is licensed to practice in New York (license number 038177) and his current practice location is
514 49th St, Lmc Sunset Terrace, Brooklyn, New York. He can be reached at his office (for appointments etc.) via phone at
(718) 437-5233.
NPI number for Mr Brian Thomas Clark is 1811058761 and his current mailing address is 5800 3rd Ave, Managed Care Department, Brooklyn, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811058761.
Healthcare Provider's Profile
| Full Name | Mr Brian Thomas Clark |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 514 49th St, Brooklyn, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1811058761
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Brian Thomas Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811058761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6617 (New York) | Primary |
| 104100000X | Social Worker | 038177 (New York) | 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. Mr Brian Thomas 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 |
|---|
Mr Brian Thomas Clark, LCSW, CASAC
5800 3rd Ave, Managed Care Department,
Brooklyn, NY 11220-3702
Ph: (718) 630-7477 | Mr Brian Thomas Clark, LCSW, CASAC
514 49th St, Lmc Sunset Terrace,
Brooklyn, NY 11220-2010
Ph: (718) 437-5233 |
Reviews and Comments