Gregory James Clark is a Clinical in Olean, New York. Gregory James Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gregory James Clark is 1558449843. The last update date is 2007-07-08.
Gregory James Clark's current location address is 2656 W State St, Olean, New York. You can contact this provider via phone number 7163781002 and fax number 7163732170. The mailing address for Gregory James Clark is 2656 W State St, Olean, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory James Clark |
|---|---|
| Address | 2656 W State St, Olean, New York |
| Phone Number | 7163781002 |
| Fax Number | 7163732170 |
| Sole Proprietor | Y |
| Credentials | LCSW-R |
NPI Number Detail
| NPI Number | 1558449843 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2656 W State St |
|---|---|
| City | Olean |
| State | New York (NY) |
| Post Code | 147601871 |
| Phone Number | 7163781002 |
| Fax Number | 7163732170 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R073675-1 |
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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 |
|---|---|---|---|
| 590314001 | NY | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Gregory James Clark by the Centers for Medicare & Medicaid Services?
The Gregory James Clark has been assigned the NPI (National Provider Identifier) 1558449843. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gregory James Clark is physically located?
The Gregory James Clark is situated at the following address: 2656 W State St, Olean, NY 147601871.
What is Gregory James Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gregory James Clark is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When was the Gregory James Clark's 1558449843 issued?
The Gregory James Clark's 1558449843 was issued on 2006-11-02.
When was the information related to Gregory James Clark most recently updated or refreshed?
The details pertaining to the Gregory James Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.