Edna K Clark is a Clinical in Powell, Tennessee. Edna K Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edna K Clark is 1164683272. The last update date is 2022-02-11.
Edna K Clark's current location address is 7744 Conner Rd, Powell, Tennessee. You can contact this provider via phone number 8655469751 and fax number 8339082167. The mailing address for Edna K Clark is 7744 Conner Rd, Powell, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edna K Clark |
|---|---|
| Address | 7744 Conner Rd, Powell, Tennessee |
| Phone Number | 8655469751 |
| Fax Number | 8339082167 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1164683272 |
|---|---|
| Provider Enumeration Date | 2008-06-20 |
| Last Updated Date | 2022-02-11 |
Provider Mailing Address Detail
| Address | 7744 Conner Rd |
|---|---|
| City | Powell |
| State | Tennessee (TN) |
| Post Code | 378493509 |
| Phone Number | 8655469751 |
| Fax Number | 8339082167 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7829 |
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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 |
|---|---|---|---|
| 8258 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Edna K Clark?
The Edna K Clark has been issued the NPI (National Provider Identifier) 1164683272 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Edna K Clark is physically located?
The Edna K Clark is physically situated at the following address: 7744 Conner Rd, Powell, TN, 378493509.
What is the area of specialization for Edna K Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Edna K Clark is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did Edna K Clark receive its 1164683272 assignment from the Centers for Medicare & Medicaid Services?
The Edna K Clark was assigned its 1164683272 on 2008-06-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Edna K Clark most recently updated or revised?
The details related to Edna K Clark, including its address, specialty, and other relevant information, were last updated or revised on 2022-02-11.
NPI Number: 1942206313
Address: 1250 N Wenatchee Ave Suite H Pmb 352, Wenatchee, WA