Russhele Clarke is a Clinical in Forestville, Maryland. Russhele Clarke practices all healthcare services and medical treatments related to Clinical. The NPI Number for Russhele Clarke is 1073726709. The last update date is 2007-07-08.
Russhele Clarke's current location address is 5038 Hil Mar Dr, Forestville, Maryland. You can contact this provider via phone number 3015687376. The mailing address for Russhele Clarke is 5038 Hil Mar Dr, Forestville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russhele Clarke |
|---|---|
| Address | 5038 Hil Mar Dr, Forestville, Maryland |
| Phone Number | 3015687376 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1073726709 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5038 Hil Mar Dr |
|---|---|
| City | Forestville |
| State | Maryland (MD) |
| Post Code | 207473841 |
| Phone Number | 3015687376 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC3000764 |
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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 |
|---|---|---|---|
| 305806 | DC | AMERIGROUP |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Russhele Clarke by the Centers for Medicare & Medicaid Services?
The Russhele Clarke has been assigned the NPI (National Provider Identifier) 1073726709 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Russhele Clarke?
The Russhele Clarke is situated at 5038 Hil Mar Dr, in the city of Forestville, state of MD, with the zip code 207473841.
What is the area of specialization for Russhele Clarke, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Russhele Clarke is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Russhele Clarke receive the assignment of its 1073726709 from the Centers for Medicare & Medicaid Services?
The Russhele Clarke was issued its 1073726709 by the Centers for Medicare & Medicaid Services on 2007-05-08.
As of what date was the information pertaining to Russhele Clarke, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Russhele Clarke, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.