Jennifer Clark is a Clinical in Malden, Massachusetts. Jennifer Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Clark is 1053444331. The last update date is 2007-07-08.
Jennifer Clark's current location address is 6 Pleasant St, Malden, Massachusetts. You can contact this provider via phone number 7813221503. The mailing address for Jennifer Clark is 6 Pleasant St, Malden, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jennifer Clark |
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Address | 6 Pleasant St, Malden, Massachusetts |
Phone Number | 7813221503 |
Fax Number | |
Sole Proprietor | N |
Credentials | LICSW |
NPI Number Detail
NPI Number | 1053444331 |
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Provider Enumeration Date | 2007-03-14 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 6 Pleasant St |
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City | Malden |
State | Massachusetts (MA) |
Post Code | 21485100 |
Phone Number | 7813221503 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 113339 |
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 Jennifer Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Jennifer Clark has been assigned the NPI (National Provider Identifier) 1053444331. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Jennifer Clark is physically located?
The Jennifer Clark is situated at the following address: 6 Pleasant St, Malden, MA 21485100.
What is Jennifer Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jennifer Clark is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053444331 to Jennifer Clark?
The Jennifer Clark received its 1053444331 assignment from the Centers for Medicare & Medicaid Services on 2007-03-14.
As of what date was the information regarding Jennifer Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1023014131
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