John Lewis Clark is a Clinical in St. Paul, Minnesota. John Lewis Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Lewis Clark is 1285856559. The last update date is 2007-07-08.
John Lewis Clark's current location address is 1845 University Avenue West, St. Paul, Minnesota. You can contact this provider via phone number 6516442600. The mailing address for John Lewis Clark is 1845 University Avenue West, St. Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Lewis Clark |
|---|---|
| Address | 1845 University Avenue West, St. Paul, Minnesota |
| Phone Number | 6516442600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1285856559 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1845 University Avenue West |
|---|---|
| City | St. Paul |
| State | Minnesota (MN) |
| Post Code | 55104 |
| Phone Number | 6516442600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7084 |
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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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What is the unique 10-digit identifier code issued to John Lewis Clark by the Centers for Medicare & Medicaid Services?
The John Lewis Clark has been assigned the NPI (National Provider Identifier) 1285856559 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where John Lewis Clark's facilities are situated?
The facilities of John Lewis Clark are physically located at the following address: 1845 University Avenue West, St. Paul, MN, 55104.
What is John Lewis Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Lewis Clark is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285856559 to John Lewis Clark?
The Centers for Medicare & Medicaid Services originally issued the 1285856559 to John Lewis Clark on 2007-05-03.
When was the information pertaining to John Lewis Clark most recently updated or revised?
The details related to John Lewis Clark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.