Active NPIIndividual providerSole proprietor

Rebecca E Clark

Social Worker, Clinical in Collingswood, New Jersey

NPI Number1487363016
Practice location
168 Fern Ave, Collingswood, NJ 08108-1938
Fax
—
Last updated
November 22, 2022

Rebecca Elizabeth Clark is a Social Worker, Clinical based in Collingswood, NJ. Rebecca Elizabeth Clark practices in Collingswood, NJ. The NPI Number for Rebecca Elizabeth Clark is 1487363016 and holds a License No. 44SC06081000 (NJ). The current practice location address for Rebecca Elizabeth Clark is 168 Fern Ave, Collingswood, NJ 08108-1938 and can be reached out via phone at 732-310-7343.

Provider Profile Details

NPI Number
1487363016
Provider Name
Rebecca Elizabeth Clark
Provider Entity Type
Individual
Gender
Female
Address
168 Fern Ave, Collingswood, NJ 08108-1938
Phone Number
732-310-7343
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 22, 2022
Last Update Date
November 22, 2022
Certification Date
November 22, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
168 Fern Ave
Collingswood, NJ 08108-1938
Zip
08108-1938
Phone Number
732-310-7343
Collingswood, NJ 08108Get directions →

Provider Business Mailing Address Details

Address
18 Wilson St
Middlesex, NJ 08846-1425
City
Middlesex
State
NJ
Zip
08846-1425
Phone Number
732-310-7343

License Information

License Number
44SC06081000
License State
NJ
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 Rebecca E Clark?

The NPI number of Rebecca E Clark is 1487363016. It was assigned on November 22, 2022 and is currently active in the NPPES registry.

What is the specialty of Rebecca E Clark?

Rebecca E Clark is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC06081000.

Where does Rebecca E Clark practice?

The practice location is 168 Fern Ave, Collingswood, NJ 08108-1938. The office can be reached at 732-310-7343 (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 1487363016 directly on the NPPES registry website.

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