Catherine Sue Clark in Mission - Clinical
Catherine Sue Clark - NPI 1871603969
Catherine Sue Clark is a Clinical in Mission, Kansas. Catherine Sue Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Catherine Sue Clark is 1871603969. The last update date is 2010-07-23.
Catherine Sue Clark's current location address is 6000 Lamar Ave, Mission, Kansas. You can contact this provider via phone number 9138312550 and fax number 9138261589. The mailing address for Catherine Sue Clark is 6000 Lamar Ave, Mission, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Catherine Sue Clark |
|---|---|
| Address | 6000 Lamar Ave, Mission, Kansas |
| Phone Number | 9138312550 |
| Fax Number | 9138261589 |
| Sole Proprietor | N |
| Credentials | LSCSW |
NPI Number Detail
| NPI Number | 1871603969 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2010-07-23 |
Provider Mailing Address Detail
| Address | 6000 Lamar Ave |
|---|---|
| City | Mission |
| State | Kansas (KS) |
| Post Code | 662023234 |
| Phone Number | 9138312550 |
| Fax Number | 9138261589 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1166 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18436015 | BCBS OF KC | ||
| 100098010 | KS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Catherine Sue Clark?
The Catherine Sue Clark has been issued the NPI (National Provider Identifier) 1871603969 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Catherine Sue Clark is physically located?
The Catherine Sue Clark is situated at the following address: 6000 Lamar Ave, Mission, KS 662023234.
What is the Catherine Sue Clark's specialty and taxonomy code?
The Catherine Sue Clark's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Catherine Sue Clark receive the assignment of its 1871603969 from the Centers for Medicare & Medicaid Services?
The Catherine Sue Clark was issued its 1871603969 by the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information regarding Catherine Sue Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Catherine Sue Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-07-23.
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