Michele Clark is a Clinical in Detroit, Michigan. Michele Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michele Clark is 1255591483. The last update date is 2015-08-25.
Michele Clark's current location address is 10320 W Outer Dr, Detroit, Michigan. You can contact this provider via phone number 3139698326. The mailing address for Michele Clark is 10320 W Outer Dr, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michele Clark |
|---|---|
| Address | 10320 W Outer Dr, Detroit, Michigan |
| Phone Number | 3139698326 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1255591483 |
|---|---|
| Provider Enumeration Date | 2008-06-11 |
| Last Updated Date | 2015-08-25 |
Provider Mailing Address Detail
| Address | 10320 W Outer Dr |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482232148 |
| Phone Number | 3139698326 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801088611 |
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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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What is the unique 10-digit identifier code assigned to Michele Clark by the Centers for Medicare & Medicaid Services?
The Michele Clark has been issued the NPI (National Provider Identifier) 1255591483 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Michele Clark located?
The Michele Clark is located at 10320 W Outer Dr, Detroit, MI 482232148.
What is Michele Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michele Clark's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When was the Michele Clark's 1255591483 issued?
The Michele Clark's 1255591483 was issued on 2008-06-11.
When was the information regarding Michele Clark most recently updated?
The details pertaining to the Michele Clark, including its address, specialty, and other relevant information, were last refreshed on 2015-08-25.