Susan Clark, LCSW is a
Social Worker - Clinical based in Louisville, Kentucky. Susan Clark is licensed to practice in Kentucky (license number 5049) and her current practice location is
914 E Broadway, 3rd Floor, Louisville, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(502) 589-8600.
NPI number for Susan Clark is 1619268422 and her current mailing address is 101 W Muhammad Ali Blvd, Louisville, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619268422.
Healthcare Provider's Profile
Full Name | Susan Clark |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 914 E Broadway, Louisville, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619268422
- Provider Enumeration Date: 04/27/2011
- Last Update Date: 11/03/2015
Medical Identifiers
Medical identifiers for Susan Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619268422 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 2013-007 (Kentucky) | Secondary |
1041C0700X | Social Worker - Clinical | 5049 (Kentucky) | 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. Susan 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 |
Susan Clark, LCSW 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423 Ph: () - | Susan Clark, LCSW 914 E Broadway, 3rd Floor, Louisville, KY 40204-1037 Ph: (502) 589-8600 |
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