Serena Adriana Clark, is a
Community Health Worker based in San Diego, California. Serena Adriana Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
995 Gateway Center Way Ste 300, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 398-2156.
NPI number for Serena Adriana Clark is 1942869011 and her current mailing address is 995 Gateway Center Way, Suite 300 San Diego, Ca 92102, Suite 300, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942869011.
Healthcare Provider's Profile
| Full Name | Serena Adriana Clark |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 995 Gateway Center Way Ste 300, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942869011
- Provider Enumeration Date: 06/11/2019
- Last Update Date: 10/10/2023
Medical Identifiers
Medical identifiers for Serena Adriana Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942869011 | 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. Serena Adriana 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 |
|---|
Serena Adriana Clark,
995 Gateway Center Way, Suite 300 San Diego, Ca 92102, Suite 300,
San Diego, CA 92102
Ph: (619) 398-2156 | Serena Adriana Clark,
995 Gateway Center Way Ste 300,
San Diego, CA 92102-4550
Ph: (619) 398-2156 |
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