Ms Stacy-ann Clarke, BHS is a
Counselor - Addiction (substance Use Disorder) based in Ceres, California. Ms Stacy-ann Clarke is licensed to practice in * (Not Available) (license number ) and her current practice location is
1904 Richland Ave, Ceres, California. She can be reached at her office (for appointments etc.) via phone at
(209) 525-7411.
NPI number for Ms Stacy-ann Clarke is 1477857951 and her current mailing address is 800 Scenic Dr, Modesto, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477857951.
Provider's Profile
Full Name | Ms Stacy-ann Clarke |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 1904 Richland Ave, Ceres, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477857951
- Provider Enumeration Date: 12/27/2010
- Last Update Date: 09/05/2023
Medical Identifiers
Medical identifiers for Ms Stacy-ann Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477857951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 247445 (California) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (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. Ms Stacy-ann Clarke 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 Stacy-ann Clarke, BHS 800 Scenic Dr, Modesto, CA 95350-6131 Ph: (209) 525-6146 | Ms Stacy-ann Clarke, BHS 1904 Richland Ave, Ceres, CA 95307-4562 Ph: (209) 525-7411 |
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