Summer Ray Clark is a Clinical in Cincinnati, Ohio. Summer Ray Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Summer Ray Clark is 1093993768. The last update date is 2008-02-05.
Summer Ray Clark's current location address is 411 Oak St, Cincinnati, Ohio. You can contact this provider via phone number 5139841800 and fax number 5139844909. The mailing address for Summer Ray Clark is 411 Oak St, Cincinnati, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Summer Ray Clark |
|---|---|
| Address | 411 Oak St, Cincinnati, Ohio |
| Phone Number | 5139841800 |
| Fax Number | 5139844909 |
| Sole Proprietor | Y |
| Credentials | LISW-CP |
NPI Number Detail
| NPI Number | 1093993768 |
|---|---|
| Provider Enumeration Date | 2008-02-05 |
| Last Updated Date | 2008-02-05 |
Provider Mailing Address Detail
| Address | 411 Oak St |
|---|---|
| City | Cincinnati |
| State | Ohio (OH) |
| Post Code | 452192504 |
| Phone Number | 5139841800 |
| Fax Number | 5139844909 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7183 |
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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 identification code assigned to Summer Ray Clark by the Centers for Medicare & Medicaid Services?
The Summer Ray Clark has been issued the NPI (National Provider Identifier) 1093993768, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Summer Ray Clark's physical address?
The Summer Ray Clark is physically located at 411 Oak St, in the city of Cincinnati, OH, with the postal code 452192504.
What is the area of specialization for Summer Ray Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Summer Ray Clark is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did Summer Ray Clark receive its 1093993768 assignment from the Centers for Medicare & Medicaid Services?
The Summer Ray Clark was assigned its 1093993768 on 2008-02-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Summer Ray Clark's details last updated?
The information pertaining to the Summer Ray Clark, including its address, specialty, and other details, was most recently updated on 2008-02-05.