Anitra M Clark is a Clinical in San Leandro, California. Anitra M Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Anitra M Clark is 1649280595. The last update date is 2022-02-11.
Anitra M Clark's current location address is 375 Estudillo Ave, Ste 207, San Leandro, California. You can contact this provider via phone number 5102412373 and fax number 6144551945. The mailing address for Anitra M Clark is 375 Estudillo Ave, Ste 207, San Leandro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anitra M Clark |
|---|---|
| Address | 375 Estudillo Ave, Ste 207, San Leandro, California |
| Phone Number | 5102412373 |
| Fax Number | 6144551945 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1649280595 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2022-02-11 |
Provider Mailing Address Detail
| Address | 375 Estudillo Ave, Ste 207 |
|---|---|
| City | San Leandro |
| State | California (CA) |
| Post Code | 94577 |
| Phone Number | 5102412373 |
| Fax Number | 6144551945 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS26654 |
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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 identification code assigned to Anitra M Clark by the Centers for Medicare & Medicaid Services?
The Anitra M Clark has been issued the NPI (National Provider Identifier) 1649280595. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Anitra M Clark's physical address?
The Anitra M Clark is physically located at 375 Estudillo Ave, Ste 207, in the city of San Leandro, CA, with the postal code 94577.
What is Anitra M Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Anitra M Clark is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did Anitra M Clark receive its 1649280595 assignment from the Centers for Medicare & Medicaid Services?
The Anitra M Clark was assigned its 1649280595 on 2006-08-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Anitra M Clark last refreshed?
The information related to the Anitra M Clark, including its address, specialty, and other relevant details, was last updated on 2022-02-11.