Teresa Clark, LCSW, LADC is a
Social Worker - Clinical based in Wiscasset, Maine. Teresa Clark is licensed to practice in Maine (license number LC10536) and her current practice location is
721 Bath Rd, Wiscasset, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 882-5300.
NPI number for Teresa Clark is 1538373337 and her current mailing address is 721 Bath Rd, Wiscasset, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538373337.
Healthcare Provider's Profile
Full Name | Teresa Clark |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 721 Bath Rd, Wiscasset, Maine |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538373337
- Provider Enumeration Date: 05/10/2007
- Last Update Date: 04/13/2018
Medical Identifiers
Medical identifiers for Teresa Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538373337 | NPI | - | NPPES |
82-2931653 | Other | ME | TAX ID |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LC3953 (Maine) | Secondary |
1041C0700X | Social Worker - Clinical | LC10536 (Maine) | 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. Teresa 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 |
Teresa Clark, LCSW, LADC 721 Bath Rd, Wiscasset, ME 04578-4830 Ph: (207) 882-5300 | Teresa Clark, LCSW, LADC 721 Bath Rd, Wiscasset, ME 04578-4830 Ph: (207) 882-5300 |
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