Sandra Clark is a Clinical in Snellville, Georgia. Sandra Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sandra Clark is 1659592962. The last update date is 2007-07-08.
Sandra Clark's current location address is 2386 Clower St, Snellville, Georgia. You can contact this provider via phone number 4042762310 and fax number 7708608315. The mailing address for Sandra Clark is 2386 Clower St, Snellville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Clark |
|---|---|
| Address | 2386 Clower St, Snellville, Georgia |
| Phone Number | 4042762310 |
| Fax Number | 7708608315 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1659592962 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2386 Clower St |
|---|---|
| City | Snellville |
| State | Georgia (GA) |
| Post Code | 300786134 |
| Phone Number | 4042762310 |
| Fax Number | 7708608315 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW002450 |
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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 assigned to Sandra Clark by the Centers for Medicare & Medicaid Services?
The Sandra Clark has been issued the NPI (National Provider Identifier) 1659592962 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Sandra Clark?
The Sandra Clark is situated at 2386 Clower St, in the city of Snellville, state of GA, with the zip code 300786134.
What is Sandra Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sandra Clark is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659592962 to Sandra Clark?
The Centers for Medicare & Medicaid Services originally issued the 1659592962 to Sandra Clark on 2007-05-02.
When was the information pertaining to Sandra Clark most recently updated or revised?
The details related to Sandra Clark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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