Ms Angela Clark, MSW,LICSWA, MCA,SUDP is a
Social Worker based in Spokane, Washington. Ms Angela Clark is licensed to practice in Washington (license number SC60656780) and her current practice location is
317 N. Pines, Spokane, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 838-4651.
NPI number for Ms Angela Clark is 1275003873 and her current mailing address is 107 S Division St, Spokane, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275003873.
Healthcare Provider's Profile
| Full Name | Ms Angela Clark |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 317 N. Pines, Spokane, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1275003873
- Provider Enumeration Date: 11/27/2018
- Last Update Date: 01/17/2022
Medical Identifiers
Medical identifiers for Ms Angela Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275003873 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60656762 (Washington) | Secondary |
| 101Y00000X | Counselor | MC61249881 (Washington) | Secondary |
| 104100000X | Social Worker | SC60656780 (Washington) | 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. Ms Angela 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 |
|---|
Ms Angela Clark, MSW,LICSWA, MCA,SUDP
107 S Division St,
Spokane, WA 99202-1510
Ph: (509) 838-4651 | Ms Angela Clark, MSW,LICSWA, MCA,SUDP
317 N. Pines,
Spokane, WA 99206
Ph: (509) 838-4651 |
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