Active NPIIndividual providerSole proprietor

Amanda Clark, LCSW

Social Worker, Clinical in Skowhegan, Maine

NPI Number1205245636
Practice location
77 Madison Ave, Skowhegan, ME 04976
Fax
—
Last updated
June 18, 2018

Amanda Clark is a Social Worker, Clinical based in Skowhegan, ME. Amanda Clark practices in Skowhegan, ME and has the professional credentials of LCSW. The NPI Number for Amanda Clark is 1205245636. The current practice location address for Amanda Clark is 77 Madison Ave, Skowhegan, ME 04976 and can be reached out via phone at 207-613-0055.

Provider Profile Details

NPI Number
1205245636
Provider Name
Amanda Clark
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
77 Madison Ave, Skowhegan, ME 04976
Phone Number
207-613-0055
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 11, 2014
Last Update Date
June 18, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 Madison Ave
Skowhegan, ME 04976
State
Maine
Zip
04976
Phone Number
207-613-0055
Skowhegan, ME 04976Get directions →

Provider Business Mailing Address Details

Address
Po Box 82
Skowhegan, ME 04976-0082
City
Skowhegan
State
ME
Zip
04976-0082

License Information

Taxonomy
Social Worker, Clinical · 1041C0700X · 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 Amanda Clark, LCSW?

The NPI number of Amanda Clark, LCSW is 1205245636. It was assigned on August 11, 2014 and is currently active in the NPPES registry.

What is the specialty of Amanda Clark, LCSW?

Amanda Clark, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Amanda Clark, LCSW practice?

The practice location is 77 Madison Ave, Skowhegan, ME 04976. The office can be reached at 207-613-0055 (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 1205245636 directly on the NPPES registry website.

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