Ronnie L Clark in Hampton - Clinical

Ronnie L Clark - NPI 1780793364

Ronnie L Clark is a Clinical in Hampton, Virginia. Ronnie L Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ronnie L Clark is 1780793364. The last update date is 2012-04-10.

Ronnie L Clark's current location address is 600 Medical Dr, Hampton, Virginia. You can contact this provider via phone number 7577880601 and fax number 7572454918. The mailing address for Ronnie L Clark is 600 Medical Dr, Hampton, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Ronnie L Clark
Address 600 Medical Dr, Hampton, Virginia
Phone Number 7577880601
Fax Number 7572454918
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1780793364
Provider Enumeration Date 2006-08-29
Last Updated Date 2012-04-10

Provider Mailing Address Detail

Address 600 Medical Dr
City Hampton
State Virginia (VA)
Post Code 236661769
Phone Number 7577880601
Fax Number 7572454918

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 904005559
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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FAQs about Ronnie L Clark

What is the unique identifier code issued to Ronnie L Clark by the Centers for Medicare & Medicaid Services?

The Ronnie L Clark has been assigned the NPI (National Provider Identifier) 1780793364. 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 Ronnie L Clark is physically located?

The Ronnie L Clark is situated at the following address: 600 Medical Dr, Hampton, VA 236661769.

What is Ronnie L Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Ronnie L Clark is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did Ronnie L Clark receive its 1780793364 assignment from the Centers for Medicare & Medicaid Services?

The Ronnie L Clark was assigned its 1780793364 on 2006-08-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Ronnie L Clark most recently updated?

The details pertaining to the Ronnie L Clark, including its address, specialty, and other relevant information, were last refreshed on 2012-04-10.

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