Ms. Eileen J Clark, MSW, LCSW
Social Worker, Clinical in Lawrenceville, New Jersey
1205104049- Practice location
- 22 Gordon Ave, Lawrenceville, NJ 08648-1033
- Phone
- 609-844-0452
- Fax
- 609-844-0518
- Last updated
- March 25, 2024
Eileen J Clark is a Social Worker, Clinical based in Lawrenceville, NJ. Eileen J Clark practices in Lawrenceville, NJ and has the professional credentials of MSW, LCSW. The NPI Number for Eileen J Clark is 1205104049 and holds a License No. 44SC06221100 (NJ). The current practice location address for Eileen J Clark is 22 Gordon Ave, Lawrenceville, NJ 08648-1033 and can be reached out via phone at 609-844-0452 and via fax at 609-844-0518.
Provider Profile Details
- NPI Number
- 1205104049
- Provider Name
- Eileen J Clark
- Credential
- MSW, LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 22 Gordon Ave, Lawrenceville, NJ 08648-1033
- Phone Number
- 609-844-0452
- Fax Number
- 609-844-0518
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 8, 2011
- Last Update Date
- March 25, 2024
- Certification Date
- March 25, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Gordon Ave
Lawrenceville, NJ 08648-1033 - City
- Lawrenceville
- State
- New Jersey
- Zip
- 08648-1033
- Phone Number
- 609-844-0452
- Fax Number
- 609-844-0518
Provider Business Mailing Address Details
- Address
- Po Box 6573
Lawrenceville, NJ 08648-0573 - City
- Lawrenceville
- State
- NJ
- Zip
- 08648-0573
- Phone Number
- 609-844-0452
- Fax Number
- 609-844-0518
License Information
- License Number
- 44SC06221100
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Eileen J Clark, MSW, LCSW?
The NPI number of Ms. Eileen J Clark, MSW, LCSW is 1205104049. It was assigned on December 8, 2011 and is currently active in the NPPES registry.
What is the specialty of Ms. Eileen J Clark, MSW, LCSW?
Ms. Eileen J Clark, MSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC06221100.
Where does Ms. Eileen J Clark, MSW, LCSW practice?
The practice location is 22 Gordon Ave, Lawrenceville, NJ 08648-1033. The office can be reached at 609-844-0452 (phone) or 609-844-0518 (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 1205104049 directly on the NPPES registry website.