Rita Clark is a Clinical in Hollywood, Florida. Rita Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Rita Clark is 1396936878. The last update date is 2007-08-08.
Rita Clark's current location address is 3349 N University Dr, Hollywood, Florida. You can contact this provider via phone number 9548859500 and fax number 9548859444. The mailing address for Rita Clark is 3349 N University Dr, Hollywood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rita Clark |
|---|---|
| Address | 3349 N University Dr, Hollywood, Florida |
| Phone Number | 9548859500 |
| Fax Number | 9548859444 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1396936878 |
|---|---|
| Provider Enumeration Date | 2007-08-08 |
| Last Updated Date | 2007-08-08 |
Provider Mailing Address Detail
| Address | 3349 N University Dr |
|---|---|
| City | Hollywood |
| State | Florida (FL) |
| Post Code | 330249000 |
| Phone Number | 9548859500 |
| Fax Number | 9548859444 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW5134 |
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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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What is the unique identification code assigned to Rita Clark by the Centers for Medicare & Medicaid Services?
The Rita Clark has been issued the NPI (National Provider Identifier) 1396936878. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Rita Clark?
The Rita Clark is situated at 3349 N University Dr, in the city of Hollywood, state of FL, with the zip code 330249000.
What is Rita Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Rita Clark is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396936878 to Rita Clark?
The Rita Clark received its 1396936878 assignment from the Centers for Medicare & Medicaid Services on 2007-08-08.
As of what date were the Rita Clark's details last updated?
The information pertaining to the Rita Clark, including its address, specialty, and other details, was most recently updated on 2007-08-08.
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