Ms Stephanie Denise Clark, LMSW is a
Social Worker based in Bronx, New York. Ms Stephanie Denise Clark is licensed to practice in New York (license number 080972-1) and her current practice location is
130 W Kingsbridge Rd, Room 5b-07, Bronx, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 584-9000.
NPI number for Ms Stephanie Denise Clark is 1356512149 and her current mailing address is 2155 Paulding Ave, Apt. 1h, Bronx, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356512149.
Healthcare Provider's Profile
| Full Name | Ms Stephanie Denise Clark |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 130 W Kingsbridge Rd, Bronx, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1356512149
- Provider Enumeration Date: 03/19/2008
- Last Update Date: 10/08/2013
Medical Identifiers
Medical identifiers for Ms Stephanie Denise Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356512149 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 080972-1 (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. Ms Stephanie Denise 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 Stephanie Denise Clark, LMSW
2155 Paulding Ave, Apt. 1h,
Bronx, NY 10462-2151
Ph: (718) 409-6481 | Ms Stephanie Denise Clark, LMSW
130 W Kingsbridge Rd, Room 5b-07,
Bronx, NY 10468-3904
Ph: (718) 584-9000 |
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