Kathleen M. Clark is a Clinical in Austin, Texas. Kathleen M. Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathleen M. Clark is 1740276906. The last update date is 2008-09-08.
Kathleen M. Clark's current location address is 3724 Jefferson St, Austin, Texas. You can contact this provider via phone number 5124528948 and fax number 5124520459. The mailing address for Kathleen M. Clark is 3724 Jefferson St, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen M. Clark |
|---|---|
| Address | 3724 Jefferson St, Austin, Texas |
| Phone Number | 5124528948 |
| Fax Number | 5124520459 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. , |
NPI Number Detail
| NPI Number | 1740276906 |
|---|---|
| Provider Enumeration Date | 2005-09-23 |
| Last Updated Date | 2008-09-08 |
Provider Mailing Address Detail
| Address | 3724 Jefferson St |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787316221 |
| Phone Number | 5124528948 |
| Fax Number | 5124520459 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | S03218 |
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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 unique 10-digit identifier code assigned to Kathleen M. Clark by the Centers for Medicare & Medicaid Services?
The Kathleen M. Clark has been issued the NPI (National Provider Identifier) 1740276906 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kathleen M. Clark?
The Kathleen M. Clark is physically situated at 3724 Jefferson St, in the city of Austin, state of TX, with the postal code 787316221.
What is Kathleen M. Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kathleen M. Clark is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date was the 1740276906 assigned to Kathleen M. Clark?
The Kathleen M. Clark was issued its 1740276906 on 2005-09-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kathleen M. Clark most recently updated or refreshed?
The details pertaining to the Kathleen M. Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-09-08.
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