Active NPIIndividual providerSole proprietor

Maura T Clark, MSW, LCSW

Social Worker, Clinical in New Gloucester, Maine

NPI Number1083632491
Practice location
180 Hatch RD, New Gloucester, ME 04260-3663
Fax
—
Last updated
November 4, 2010

Maura Tukey Clark is a Social Worker, Clinical based in New Gloucester, ME. Maura Tukey Clark practices in New Gloucester, ME and has the professional credentials of MSW, LCSW. The NPI Number for Maura Tukey Clark is 1083632491 and holds a License No. LC11088 (ME). The current practice location address for Maura Tukey Clark is 180 Hatch RD, New Gloucester, ME 04260-3663 and can be reached out via phone at 207-926-5021.

Provider Profile Details

NPI Number
1083632491
Provider Name
Maura Tukey Clark
Credential
MSW, LCSW
Provider Entity Type
Individual
Gender
Female
Address
180 Hatch RD, New Gloucester, ME 04260-3663
Phone Number
207-926-5021
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 17, 2006
Last Update Date
November 4, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 Hatch RD
New Gloucester, ME 04260-3663
State
Maine
Zip
04260-3663
Phone Number
207-926-5021
New Gloucester, ME 04260Get directions →

Provider Business Mailing Address Details

Address
180 Hatch RD
New Gloucester, ME 04260-3663
City
New Gloucester
State
ME
Zip
04260-3663
Phone Number
207-926-5021

License Information

License Number (1)
LC11088
License State (1)
ME
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
LC11088
License State (2)
ME
Taxonomy (2)
Counselor, Mental Health · 101YM0800X

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 Maura T Clark, MSW, LCSW?

The NPI number of Maura T Clark, MSW, LCSW is 1083632491. It was assigned on July 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Maura T Clark, MSW, LCSW?

Maura T Clark, MSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC11088.

Where does Maura T Clark, MSW, LCSW practice?

The practice location is 180 Hatch RD, New Gloucester, ME 04260-3663. The office can be reached at 207-926-5021 (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 1083632491 directly on the NPPES registry website.

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