Active NPIIndividual providerSole proprietor

Lourdes Clark

Case Manager/Care Coordinator in Mount Vernon, New York

NPI Number1003309287
Practice location
4 Lorraine Ave, Mount Vernon, NY 10553-1222
Fax
914-663-7075
Last updated
September 8, 2023

Lourdes Clark is a Case Manager/Care Coordinator based in Mount Vernon, NY. Lourdes Clark practices in Mount Vernon, NY. The NPI Number for Lourdes Clark is 1003309287. The current practice location address for Lourdes Clark is 4 Lorraine Ave, Mount Vernon, NY 10553-1222 and can be reached out via phone at 914-663-7070 and via fax at 914-663-7075.

Provider Profile Details

NPI Number
1003309287
Provider Name
Lourdes Clark
Provider Entity Type
Individual
Gender
Female
Address
4 Lorraine Ave, Mount Vernon, NY 10553-1222
Phone Number
914-663-7070
Fax Number
914-663-7075
Primary Taxonomy
Case Manager/Care Coordinator · 171M00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 12, 2018
Last Update Date
September 8, 2023
Certification Date
March 2, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Lorraine Ave
Mount Vernon, NY 10553-1222
Zip
10553-1222
Phone Number
914-663-7070
Fax Number
914-663-7075
Mount Vernon, NY 10553Get directions →

Provider Business Mailing Address Details

Address
300 Hayward Ave Apt Gra
Mount Vernon, NY 10552-1736
City
Mount Vernon
State
NY
Zip
10552-1736
Phone Number
914-843-1997

License Information

Taxonomy
Case Manager/Care Coordinator · 171M00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lourdes Clark?

The NPI number of Lourdes Clark is 1003309287. It was assigned on June 12, 2018 and is currently active in the NPPES registry.

What is the specialty of Lourdes Clark?

Lourdes Clark is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).

Where does Lourdes Clark practice?

The practice location is 4 Lorraine Ave, Mount Vernon, NY 10553-1222. The office can be reached at 914-663-7070 (phone) or 914-663-7075 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003309287 directly on the NPPES registry website.

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