Nicole G Clark, MSW, LSW
Social Worker in East Orange, New Jersey
1497410989- Practice location
- 7 Glenwood Ave Ste 101, East Orange, NJ 07017-1041
- Phone
- 862-438-7983
- Fax
- —
- Last updated
- November 1, 2021
Nicole Gianna Clark is a Social Worker based in East Orange, NJ. Nicole Gianna Clark practices in East Orange, NJ and has the professional credentials of MSW, LSW. The NPI Number for Nicole Gianna Clark is 1497410989 and holds a License No. 44SL06581300 (NJ). The current practice location address for Nicole Gianna Clark is 7 Glenwood Ave Ste 101, East Orange, NJ 07017-1041 and can be reached out via phone at 862-438-7983.
Provider Profile Details
- NPI Number
- 1497410989
- Provider Name
- Nicole Gianna Clark
- Credential
- MSW, LSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 7 Glenwood Ave Ste 101, East Orange, NJ 07017-1041
- Phone Number
- 862-438-7983
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 1, 2021
- Last Update Date
- November 1, 2021
- Certification Date
- November 1, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7 Glenwood Ave Ste 101
East Orange, NJ 07017-1041 - City
- East Orange
- State
- New Jersey
- Zip
- 07017-1041
- Phone Number
- 862-438-7983
Provider Business Mailing Address Details
- Address
- 7 Glenwood Ave Ste 101
East Orange, NJ 07017-1041 - City
- East Orange
- State
- NJ
- Zip
- 07017-1041
- Phone Number
- 862-438-7983
License Information
- License Number
- 44SL06581300
- License State
- NJ
- Taxonomy
- Social Worker · 104100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Workers near East Orange, NJ
View all Social Workers in East Orange →Frequently Asked Questions
What is the NPI number of Nicole G Clark, MSW, LSW?
The NPI number of Nicole G Clark, MSW, LSW is 1497410989. It was assigned on November 1, 2021 and is currently active in the NPPES registry.
What is the specialty of Nicole G Clark, MSW, LSW?
Nicole G Clark, MSW, LSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44SL06581300.
Where does Nicole G Clark, MSW, LSW practice?
The practice location is 7 Glenwood Ave Ste 101, East Orange, NJ 07017-1041. The office can be reached at 862-438-7983 (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 1497410989 directly on the NPPES registry website.