Teresa Coral-Clark, LICSW
Social Worker, Clinical in San Antonio, Texas
1376094326- Practice location
- 137 Lotus Ave, San Antonio, TX 78210-1621
- Phone
- 210-213-3660
- Fax
- —
- Last updated
- July 12, 2023
Teresa Coral-Clark is a Social Worker, Clinical based in San Antonio, TX. Teresa Coral-Clark practices in San Antonio, TX and has the professional credentials of LICSW. The NPI Number for Teresa Coral-Clark is 1376094326 and holds a License No. 37960 (TX). The current practice location address for Teresa Coral-Clark is 137 Lotus Ave, San Antonio, TX 78210-1621 and can be reached out via phone at 210-213-3660.
Provider Profile Details
- NPI Number
- 1376094326
- Provider Name
- Teresa Coral-Clark
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 137 Lotus Ave, San Antonio, TX 78210-1621
- Phone Number
- 210-213-3660
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 14, 2016
- Last Update Date
- July 12, 2023
- Certification Date
- July 12, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 137 Lotus Ave
San Antonio, TX 78210-1621 - City
- San Antonio
- State
- Texas
- Zip
- 78210-1621
- Phone Number
- 210-213-3660
Provider Business Mailing Address Details
- Address
- 6 Liberty Square
Pmb 94217
Boston, MA 02109-1621 - City
- Boston
- State
- MA
- Zip
- 02109-1621
- Phone Number
- 210-776-1724
License Information
- License Number (1)
- 37960
- License State (1)
- TX
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 119305
- License State (2)
- MA
- Taxonomy (2)
- 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 Teresa Coral-Clark, LICSW?
The NPI number of Teresa Coral-Clark, LICSW is 1376094326. It was assigned on October 14, 2016 and is currently active in the NPPES registry.
What is the specialty of Teresa Coral-Clark, LICSW?
Teresa Coral-Clark, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in TX under license number 37960.
Where does Teresa Coral-Clark, LICSW practice?
The practice location is 137 Lotus Ave, San Antonio, TX 78210-1621. The office can be reached at 210-213-3660 (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 1376094326 directly on the NPPES registry website.