Mrs. Kim Clark, LICSW
Social Worker, Clinical in South Royalton, Vermont
1508074311- Practice location
- 226 Leonard RD, South Royalton, VT 05068-9565
- Phone
- 802-763-8773
- Fax
- —
- Last updated
- July 9, 2007
Kim Clark is a Social Worker, Clinical based in South Royalton, VT. Kim Clark practices in South Royalton, VT and has the professional credentials of LICSW. The NPI Number for Kim Clark is 1508074311 and holds a License No. 101057 (MA). The current practice location address for Kim Clark is 226 Leonard RD, South Royalton, VT 05068-9565 and can be reached out via phone at 802-763-8773.
Provider Profile Details
- NPI Number
- 1508074311
- Provider Name
- Kim Clark
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 226 Leonard RD, South Royalton, VT 05068-9565
- Phone Number
- 802-763-8773
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 18, 2007
- Last Update Date
- July 9, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 226 Leonard RD
South Royalton, VT 05068-9565 - City
- South Royalton
- State
- Vermont
- Zip
- 05068-9565
- Phone Number
- 802-763-8773
Provider Business Mailing Address Details
- Address
- 226 Leonard RD
South Royalton, VT 05068-9565 - City
- South Royalton
- State
- VT
- Zip
- 05068-9565
- Phone Number
- 802-763-8773
License Information
- License Number (1)
- 101057
- License State (1)
- MA
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 0890000559
- License State (2)
- VT
- 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. | |||
Other Social Worker, Clinical providers near South Royalton, VT
View all Social Worker, Clinical providers in South Royalton →- Amanda Enright, LICSWSocial Worker, Clinical · NPI 1184221020
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- Amelia P Lincoln, MED, LCMHCCounselor, Mental Health · NPI 1801585575
- Katrina MchughCounselor, Mental Health · NPI 1790104156
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Frequently Asked Questions
What is the NPI number of Mrs. Kim Clark, LICSW?
The NPI number of Mrs. Kim Clark, LICSW is 1508074311. It was assigned on May 18, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kim Clark, LICSW?
Mrs. Kim Clark, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 101057.
Where does Mrs. Kim Clark, LICSW practice?
The practice location is 226 Leonard RD, South Royalton, VT 05068-9565. The office can be reached at 802-763-8773 (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 1508074311 directly on the NPPES registry website.