Kevin Lewis Clark in Santa Cruz - Clinical
Kevin Lewis Clark - NPI 1881603876
Kevin Lewis Clark is a Clinical in Santa Cruz, California. Kevin Lewis Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin Lewis Clark is 1881603876. The last update date is 2007-07-08.
Kevin Lewis Clark's current location address is 433 Caledonia St, Santa Cruz, California. You can contact this provider via phone number 8314585356. The mailing address for Kevin Lewis Clark is 433 Caledonia St, Santa Cruz, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Lewis Clark |
|---|---|
| Address | 433 Caledonia St, Santa Cruz, California |
| Phone Number | 8314585356 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1881603876 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 433 Caledonia St |
|---|---|
| City | Santa Cruz |
| State | California (CA) |
| Post Code | 950623311 |
| Phone Number | 8314585356 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 identification code issued to Kevin Lewis Clark by the Centers for Medicare & Medicaid Services?
The Kevin Lewis Clark has been assigned the NPI (National Provider Identifier) 1881603876 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Kevin Lewis Clark's facilities are geographically located?
The facilities of Kevin Lewis Clark are physically situated at the following location: 433 Caledonia St, Santa Cruz, CA, 950623311.
What is Kevin Lewis Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin Lewis Clark's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Kevin Lewis Clark receive the assignment of its 1881603876 from the Centers for Medicare & Medicaid Services?
The Kevin Lewis Clark was issued its 1881603876 by the Centers for Medicare & Medicaid Services on 2006-08-07.
When was the information related to Kevin Lewis Clark most recently updated or refreshed?
The details pertaining to the Kevin Lewis Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.