Ms Leila Suzanne Clark, LMSW, LPN is a
Social Worker based in Woodstock, New York. Ms Leila Suzanne Clark is licensed to practice in New York (license number 099205-1) and her current practice location is
21 Hill 99, Woodstock, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 594-7034.
NPI number for Ms Leila Suzanne Clark is 1043463201 and her current mailing address is 21 Hill 99, Woodstock, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043463201.
Provider's Profile
Full Name | Ms Leila Suzanne Clark |
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Gender | Female |
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Speciality | Social Worker |
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Location | 21 Hill 99, Woodstock, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043463201
- Provider Enumeration Date: 10/31/2008
- Last Update Date: 01/24/2017
Medical Identifiers
Medical identifiers for Ms Leila Suzanne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043463201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 258103-1 (New York) | Secondary |
104100000X | Social Worker | 099205-1 (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 Leila Suzanne 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 Leila Suzanne Clark, LMSW, LPN 21 Hill 99, Woodstock, NY 12498-1424 Ph: (845) 594-7034 | Ms Leila Suzanne Clark, LMSW, LPN 21 Hill 99, Woodstock, NY 12498-1424 Ph: (845) 594-7034 |
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