Peggy J Clark in Idaho Falls - Social Worker

Peggy J Clark - NPI 1407032709

Peggy J Clark is a Social Worker in Idaho Falls, Idaho. Peggy J Clark practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Peggy J Clark is 1407032709. The last update date is 2008-01-16.

Peggy J Clark's current location address is 1740 E 17th St Steb, Idaho Falls, Idaho. You can contact this provider via phone number 2085298832 and fax number 2085228725. The mailing address for Peggy J Clark is 1740 E 17th St Steb, Idaho Falls, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Peggy J Clark
Address 1740 E 17th St Steb, Idaho Falls, Idaho
Phone Number 2085298832
Fax Number 2085228725
Sole Proprietor N
Credentials LSW28036

NPI Number Detail

NPI Number 1407032709
Provider Enumeration Date 2008-01-16
Last Updated Date 2008-01-16

Provider Mailing Address Detail

Address 1740 E 17th St Steb
City Idaho Falls
State Idaho (ID)
Post Code 83404
Phone Number 2085298832
Fax Number 2085228725

Provider's Primary Taxonomy Detail

Speciality Social Worker
Taxonomy 104100000X
Licence No LSW28036
Definition:
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an

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FAQs about Peggy J Clark

What is the Peggy J Clark's unique identification number?

The Peggy J Clark has been assigned the NPI (National Provider Identifier) Number 1407032709 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Peggy J Clark?

The Peggy J Clark is situated at 1740 E 17Th St Steb, in the city of Idaho Falls, state of ID, with the zip code 83404.

What is Peggy J Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Peggy J Clark is Social Worker, and the taxonomy code that classifies this field of practice is 104100000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1407032709 to Peggy J Clark?

The Peggy J Clark received its 1407032709 assignment from the Centers for Medicare & Medicaid Services on 2008-01-16.

As of what date was the information regarding Peggy J Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Peggy J Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-16.

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