Steven Clark is a Clinical in Hermosa Beach, California. Steven Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Steven Clark is 1962569608. The last update date is 2007-07-08.
Steven Clark's current location address is 2309 Pacific Coast Hwy, Hermosa Beach, California. You can contact this provider via phone number 3103768617 and fax number 3108253799. The mailing address for Steven Clark is 2309 Pacific Coast Hwy, Hermosa Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Clark |
|---|---|
| Address | 2309 Pacific Coast Hwy, Hermosa Beach, California |
| Phone Number | 3103768617 |
| Fax Number | 3108253799 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1962569608 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2309 Pacific Coast Hwy |
|---|---|
| City | Hermosa Beach |
| State | California (CA) |
| Post Code | 902542751 |
| Phone Number | 3103768617 |
| Fax Number | 3108253799 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS7363 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Steven Clark by the Centers for Medicare & Medicaid Services?
The Steven Clark has been assigned the NPI (National Provider Identifier) 1962569608 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Steven Clark is physically located?
The Steven Clark is situated at the following address: 2309 Pacific Coast Hwy, Hermosa Beach, CA 902542751.
What is the Steven Clark's area of specialization and corresponding taxonomy classification?
The Steven Clark's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962569608 to Steven Clark?
The Centers for Medicare & Medicaid Services originally issued the 1962569608 to Steven Clark on 2007-01-02.
When was the information regarding Steven Clark most recently updated?
The details pertaining to the Steven Clark, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.