Ms Kattie Clark, BA is a
Case Manager/care Coordinator based in Memphis, Tennessee. Ms Kattie Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
3810 Winchester Rd, Southeast Mental Health Center, Memphis, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(901) 369-1420.
NPI number for Ms Kattie Clark is 1033230313 and her current mailing address is 5261 Apollo St, Memphis, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033230313.
Healthcare Provider's Profile
| Full Name | Ms Kattie Clark |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 3810 Winchester Rd, Memphis, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1033230313
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 03/03/2008
Medical Identifiers
Medical identifiers for Ms Kattie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033230313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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. Ms Kattie 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 Kattie Clark, BA
5261 Apollo St,
Memphis, TN 38116-9453
Ph: (901) 345-8805 | Ms Kattie Clark, BA
3810 Winchester Rd, Southeast Mental Health Center,
Memphis, TN 38118-6045
Ph: (901) 369-1420 |
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