Amy Clark is a Clinical in Buffalo, Minnesota. Amy Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amy Clark is 1700955259. The last update date is 2007-07-08.
Amy Clark's current location address is 102 Marty Dr, Buffalo, Minnesota. You can contact this provider via phone number 7636825420 and fax number 7636825803. The mailing address for Amy Clark is 102 Marty Dr, Buffalo, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Clark |
|---|---|
| Address | 102 Marty Dr, Buffalo, Minnesota |
| Phone Number | 7636825420 |
| Fax Number | 7636825803 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1700955259 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 102 Marty Dr |
|---|---|
| City | Buffalo |
| State | Minnesota (MN) |
| Post Code | 553139305 |
| Phone Number | 7636825420 |
| Fax Number | 7636825803 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1340 |
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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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Post Comment/ Review Below
What is the Amy Clark's 1700955259?
The Amy Clark's NPI (National Provider Identifier) Number is 1700955259. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Amy Clark is physically located?
The Amy Clark is situated at the following address: 102 Marty Dr, Buffalo, MN 553139305.
What is Amy Clark's area of expertise and its corresponding taxonomy classification?
The Amy Clark's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1700955259 to Amy Clark?
The Centers for Medicare & Medicaid Services assigned the 1700955259 to Amy Clark on 2006-11-07.
When was the information pertaining to Amy Clark most recently updated or revised?
The details related to Amy Clark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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