Glenda S. Clark in Lakeland - Clinical

Glenda S. Clark - NPI 1144212374

Glenda S. Clark is a Clinical in Lakeland, Florida. Glenda S. Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Glenda S. Clark is 1144212374. The last update date is 2007-07-08.

Glenda S. Clark's current location address is 850 Bugle Way, Lakeland, Florida. You can contact this provider via phone number 8638532213 and fax number 8133549436. The mailing address for Glenda S. Clark is 850 Bugle Way, Lakeland, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Glenda S. Clark
Address 850 Bugle Way, Lakeland, Florida
Phone Number 8638532213
Fax Number 8133549436
Sole Proprietor X
Credentials LCSW

NPI Number Detail

NPI Number 1144212374
Provider Enumeration Date 2005-08-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 850 Bugle Way
City Lakeland
State Florida (FL)
Post Code 338096609
Phone Number 8638532213
Fax Number 8133549436

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No SW0003672
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 Glenda S. Clark

What is the unique 10-digit identification code assigned to Glenda S. Clark by the Centers for Medicare & Medicaid Services?

The Glenda S. Clark has been issued the NPI (National Provider Identifier) 1144212374, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Glenda S. Clark's physical address?

The Glenda S. Clark is physically located at 850 Bugle Way, in the city of Lakeland, FL, with the postal code 338096609.

What is Glenda S. Clark's specialized field of practice, and what is the corresponding taxonomy classification code?

The Glenda S. Clark's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

When did Glenda S. Clark receive its 1144212374 assignment?

The Glenda S. Clark was assigned its 1144212374 on 2005-08-15, which is the date when this unique identifier was issued to the organization.

When was the information related to Glenda S. Clark most recently updated or refreshed?

The details pertaining to the Glenda S. Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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