Julie Ann Clark is a Clinical in Portland, Maine. Julie Ann Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Julie Ann Clark is 1497823116. The last update date is 2015-01-22.
Julie Ann Clark's current location address is 165 Lancaster St, Portland, Maine. You can contact this provider via phone number 2078741030 and fax number 2078741044. The mailing address for Julie Ann Clark is 165 Lancaster St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julie Ann Clark |
|---|---|
| Address | 165 Lancaster St, Portland, Maine |
| Phone Number | 2078741030 |
| Fax Number | 2078741044 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1497823116 |
|---|---|
| Provider Enumeration Date | 2006-12-01 |
| Last Updated Date | 2015-01-22 |
Provider Mailing Address Detail
| Address | 165 Lancaster St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41012406 |
| Phone Number | 2078741030 |
| Fax Number | 2078741044 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC10086 |
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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 |
|---|---|---|---|
| 433835799 | ME | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Julie Ann Clark?
The Julie Ann Clark has been issued the NPI (National Provider Identifier) 1497823116 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Julie Ann Clark?
The Julie Ann Clark is physically situated at 165 Lancaster St, in the city of Portland, state of ME, with the postal code 41012406.
What is the Julie Ann Clark's specialty and taxonomy code?
The Julie Ann Clark's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did the Julie Ann Clark receive its 1497823116?
The Julie Ann Clark was issued its 1497823116 on 2006-12-01, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Julie Ann Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Julie Ann Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-01-22.