- Practice location
- 25 Old Ferry Ln, Kittery, ME 03904-1305
- Phone
- 207-439-5149
- Fax
- 207-439-6001
- Last updated
- July 8, 2007
Sandra Ann Clark is a Social Worker, Clinical based in Kittery, ME. Sandra Ann Clark practices in Kittery, ME and has the professional credentials of MSW. The NPI Number for Sandra Ann Clark is 1104862341 and holds a License No. LC3768 (ME). The current practice location address for Sandra Ann Clark is 25 Old Ferry Ln, Kittery, ME 03904-1305 and can be reached out via phone at 207-439-5149 and via fax at 207-439-6001.
Provider Profile Details
- NPI Number
- 1104862341
- Provider Name
- Sandra Ann Clark
- Credential
- MSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 25 Old Ferry Ln, Kittery, ME 03904-1305
- Phone Number
- 207-439-5149
- Fax Number
- 207-439-6001
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 22, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Old Ferry Ln
Kittery, ME 03904-1305 - City
- Kittery
- State
- Maine
- Zip
- 03904-1305
- Phone Number
- 207-439-5149
- Fax Number
- 207-439-6001
Provider Business Mailing Address Details
- Address
- 25 Old Ferry Ln
Kittery, ME 03904-1305 - City
- Kittery
- State
- ME
- Zip
- 03904-1305
- Phone Number
- 207-439-5149
- Fax Number
- 207-439-6001
License Information
- License Number (1)
- LC3768
- License State (1)
- ME
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X · Primary
- License Number (2)
- LICSW298
- License State (2)
- NH
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- License Number (3)
- LICSW1017961
- License State (3)
- MA
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X
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 Kittery, ME
View all Social Worker, Clinical providers in Kittery →- Alanna J Borst, LMSW-CCSocial Worker, Clinical · NPI 1639698160
- Cynthia G Luma, MED, LCPC, LMHC, LMFSocial Worker, Clinical · NPI 1336268804
- Deirdre Donchian, LCSWSocial Worker, Clinical · NPI 1750737797
- Karen Dufour, LCSWSocial Worker, Clinical · NPI 1801808175
- Kari L Dudley, LCSWSocial Worker, Clinical · NPI 1275545535
- Kelly Abernethy, LCSWSocial Worker, Clinical · NPI 1306179940
Frequently Asked Questions
What is the NPI number of Ms. Sandra A Clark, MSW?
The NPI number of Ms. Sandra A Clark, MSW is 1104862341. It was assigned on June 22, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Sandra A Clark, MSW?
Ms. Sandra A Clark, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC3768.
Where does Ms. Sandra A Clark, MSW practice?
The practice location is 25 Old Ferry Ln, Kittery, ME 03904-1305. The office can be reached at 207-439-5149 (phone) or 207-439-6001 (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 1104862341 directly on the NPPES registry website.