Brian K Clark is a Clinical in Milwaukee, Wisconsin. Brian K Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brian K Clark is 1205845336. The last update date is 2019-08-26.
Brian K Clark's current location address is 3301 W Forest Home Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4146476326 and fax number 4146718860. The mailing address for Brian K Clark is 3301 W Forest Home Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian K Clark |
|---|---|
| Address | 3301 W Forest Home Ave, Milwaukee, Wisconsin |
| Phone Number | 4146476326 |
| Fax Number | 4146718860 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1205845336 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2019-08-26 |
Provider Mailing Address Detail
| Address | 3301 W Forest Home Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532152843 |
| Phone Number | 4146476326 |
| Fax Number | 4146718860 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1471-123 |
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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 |
|---|---|---|---|
| 39235600 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Brian K Clark by the Centers for Medicare & Medicaid Services?
The Brian K Clark has been issued the NPI (National Provider Identifier) 1205845336. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Brian K Clark is physically located?
The Brian K Clark is situated at the following address: 3301 W Forest Home Ave, Milwaukee, WI 532152843.
What is the Brian K Clark's specialty and taxonomy code?
The Brian K Clark's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did the Brian K Clark receive its 1205845336?
The Brian K Clark was issued its 1205845336 on 2006-08-07, which is the date when the organization was assigned this unique identifier.
When was the Brian K Clark's information last updated?
The Brian K Clark's information was last updated on 2019-08-26.
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