Timothy Lew Clark in Des Plaines - Clinical
Timothy Lew Clark - NPI 1609966415
Timothy Lew Clark is a Clinical in Des Plaines, Illinois. Timothy Lew Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Timothy Lew Clark is 1609966415. The last update date is 2007-07-08.
Timothy Lew Clark's current location address is 880 Lee Street, Des Plaines, Illinois. You can contact this provider via phone number 8472988830 and fax number 8472988831. The mailing address for Timothy Lew Clark is 880 Lee Street, Des Plaines, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Lew Clark |
|---|---|
| Address | 880 Lee Street, Des Plaines, Illinois |
| Phone Number | 8472988830 |
| Fax Number | 8472988831 |
| Sole Proprietor | N |
| Credentials | LCSW LCPC |
NPI Number Detail
| NPI Number | 1609966415 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 880 Lee Street |
|---|---|
| City | Des Plaines |
| State | Illinois (IL) |
| Post Code | 60016 |
| Phone Number | 8472988830 |
| Fax Number | 8472988831 |
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 Timothy Lew Clark's unique identification number?
The Timothy Lew Clark has been assigned the NPI (National Provider Identifier) Number 1609966415 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Timothy Lew Clark's physical address?
The Timothy Lew Clark is physically located at 880 Lee Street, in the city of Des Plaines, IL, with the postal code 60016.
What is Timothy Lew Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Timothy Lew Clark's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1609966415 to Timothy Lew Clark?
The Centers for Medicare & Medicaid Services assigned the 1609966415 to Timothy Lew Clark on 2006-10-13.
When was the information pertaining to Timothy Lew Clark most recently updated or revised?
The details related to Timothy Lew Clark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1376546309
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