Stephen Joseph Clark in Mill Creek - Clinical
Stephen Joseph Clark - NPI 1073500815
Stephen Joseph Clark is a Clinical in Mill Creek, Washington. Stephen Joseph Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephen Joseph Clark is 1073500815. The last update date is 2007-07-08.
Stephen Joseph Clark's current location address is 17414 Bothell Way Se, Mill Creek, Washington. You can contact this provider via phone number 4257755955 and fax number 4254818367. The mailing address for Stephen Joseph Clark is 17414 Bothell Way Se, Mill Creek, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Joseph Clark |
|---|---|
| Address | 17414 Bothell Way Se, Mill Creek, Washington |
| Phone Number | 4257755955 |
| Fax Number | 4254818367 |
| Sole Proprietor | X |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1073500815 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17414 Bothell Way Se |
|---|---|
| City | Mill Creek |
| State | Washington (WA) |
| Post Code | 980126334 |
| Phone Number | 4257755955 |
| Fax Number | 4254818367 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LW00006223 |
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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 identification code issued to Stephen Joseph Clark by the Centers for Medicare & Medicaid Services?
The Stephen Joseph Clark has been assigned the NPI (National Provider Identifier) 1073500815 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Stephen Joseph Clark is physically located?
The Stephen Joseph Clark is situated at the following address: 17414 Bothell Way Se, Mill Creek, WA 980126334.
What is the area of specialization for Stephen Joseph Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stephen Joseph Clark is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did Stephen Joseph Clark receive its 1073500815 assignment from the Centers for Medicare & Medicaid Services?
The Stephen Joseph Clark was assigned its 1073500815 on 2005-10-05, 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 Stephen Joseph Clark most recently updated?
The details pertaining to the Stephen Joseph Clark, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.