Elisa M Clark, LCSW
Social Worker, Clinical in Red Bank, New Jersey
1063147072- Practice location
- 272 Broad St, Red Bank, NJ 07701-2044
- Phone
- 732-747-7665
- Fax
- —
- Last updated
- July 22, 2022
Elisa M Clark is a Social Worker, Clinical based in Red Bank, NJ. Elisa M Clark practices in Red Bank, NJ and has the professional credentials of LCSW. The NPI Number for Elisa M Clark is 1063147072 and holds a License No. 44SC05942500 (NJ). The current practice location address for Elisa M Clark is 272 Broad St, Red Bank, NJ 07701-2044 and can be reached out via phone at 732-747-7665.
Provider Profile Details
- NPI Number
- 1063147072
- Provider Name
- Elisa M Clark
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 272 Broad St, Red Bank, NJ 07701-2044
- Phone Number
- 732-747-7665
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 22, 2022
- Last Update Date
- July 22, 2022
- Certification Date
- July 22, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 272 Broad St
Red Bank, NJ 07701-2044 - City
- Red Bank
- State
- New Jersey
- Zip
- 07701-2044
- Phone Number
- 732-747-7665
Provider Business Mailing Address Details
- Address
- 66 Middletown RD
Holmdel, NJ 07733-2206 - City
- Holmdel
- State
- NJ
- Zip
- 07733-2206
- Phone Number
- 609-661-3660
License Information
- License Number
- 44SC05942500
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Red Bank, NJ
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- Amanda Graham, LCSWSocial Worker, Clinical · NPI 1437721271
- Amaru Counseling & Consulting LLCSocial Worker, Clinical · NPI 1942116041
- Arthur N CaponeSocial Worker, Clinical · NPI 1740935824
- Ashley Delorenzo, LCSW, RPTSocial Worker, Clinical · NPI 1114669306
Frequently Asked Questions
What is the NPI number of Elisa M Clark, LCSW?
The NPI number of Elisa M Clark, LCSW is 1063147072. It was assigned on July 22, 2022 and is currently active in the NPPES registry.
What is the specialty of Elisa M Clark, LCSW?
Elisa M Clark, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05942500.
Where does Elisa M Clark, LCSW practice?
The practice location is 272 Broad St, Red Bank, NJ 07701-2044. The office can be reached at 732-747-7665 (phone).
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 1063147072 directly on the NPPES registry website.