Active NPIIndividual provider

Kevin Clark

Social Worker in East Orange, New Jersey

NPI Number1104255546
Practice location
385 Tremont Ave, East Orange, NJ 07018-1023
Fax
—
Last updated
November 6, 2013

Kevin Clark is a Social Worker based in East Orange, NJ. Kevin Clark practices in East Orange, NJ. The NPI Number for Kevin Clark is 1104255546. The current practice location address for Kevin Clark is 385 Tremont Ave, East Orange, NJ 07018-1023 and can be reached out via phone at 973-676-1000.

Provider Profile Details

NPI Number
1104255546
Provider Name
Kevin Clark
Provider Entity Type
Individual
Gender
Male
Address
385 Tremont Ave, East Orange, NJ 07018-1023
Phone Number
973-676-1000
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
November 6, 2013
Last Update Date
November 6, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
385 Tremont Ave
East Orange, NJ 07018-1023
Zip
07018-1023
Phone Number
973-676-1000
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
385 Tremont Ave
East Orange, NJ 07018-1023
City
East Orange
State
NJ
Zip
07018-1023
Phone Number
973-676-1000

License Information

Taxonomy
Social Worker · 104100000X · 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 Kevin Clark?

The NPI number of Kevin Clark is 1104255546. It was assigned on November 6, 2013 and is currently active in the NPPES registry.

What is the specialty of Kevin Clark?

Kevin Clark is registered under the primary taxonomy Social Worker (code 104100000X).

Where does Kevin Clark practice?

The practice location is 385 Tremont Ave, East Orange, NJ 07018-1023. The office can be reached at 973-676-1000 (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 1104255546 directly on the NPPES registry website.

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