Troy William Clark in Portland - Clinical
Troy William Clark - NPI 1699884619
Troy William Clark is a Clinical in Portland, Maine. Troy William Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Troy William Clark is 1699884619. The last update date is 2009-01-07.
Troy William Clark's current location address is 216 Vaughan St, Portland, Maine. You can contact this provider via phone number 2076622221 and fax number 2076627081. The mailing address for Troy William Clark is 216 Vaughan St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
Provider Name | Troy William Clark |
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Address | 216 Vaughan St, Portland, Maine |
Phone Number | 2076622221 |
Fax Number | 2076627081 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1699884619 |
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Provider Enumeration Date | 2006-08-30 |
Last Updated Date | 2009-01-07 |
Provider Mailing Address Detail
Address | 216 Vaughan St |
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City | Portland |
State | Maine (ME) |
Post Code | 41023204 |
Phone Number | 2076622221 |
Fax Number | 2076627081 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LC1376 |
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 identifier code issued to Troy William Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Troy William Clark has been assigned the NPI (National Provider Identifier) 1699884619. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Troy William Clark located?
The Troy William Clark is located at 216 Vaughan St, Portland, ME 41023204.
What is Troy William Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Troy William 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 issue the 1699884619 to Troy William Clark?
The Troy William Clark received its 1699884619 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the details pertaining to Troy William Clark last refreshed?
The information related to the Troy William Clark, including its address, specialty, and other relevant details, was last updated on 2009-01-07.
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