Ms Marcy Clark, LCSW is a
Social Worker - Clinical based in Fort Collins, Colorado. Ms Marcy Clark is licensed to practice in Colorado (license number CSW.09924235) and her current practice location is
3200 Azalea Dr Apt S5, Fort Collins, Colorado. She can be reached at her office (for appointments etc.) via phone at
(970) 449-3132.
NPI number for Ms Marcy Clark is 1780884130 and her current mailing address is 3200 Azalea Dr., S5, Fort Collins, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780884130.
Healthcare Provider's Profile
Full Name | Ms Marcy Clark |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3200 Azalea Dr Apt S5, Fort Collins, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780884130
- Provider Enumeration Date: 07/24/2007
- Last Update Date: 10/31/2016
Medical Identifiers
Medical identifiers for Ms Marcy Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780884130 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09924235 (Colorado) | 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 Marcy 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 Marcy Clark, LCSW 3200 Azalea Dr., S5, Fort Collins, CO 80526 Ph: (970) 449-3132 | Ms Marcy Clark, LCSW 3200 Azalea Dr Apt S5, Fort Collins, CO 80526-5719 Ph: (970) 449-3132 |
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