Timothy Clark, LICSW
Social Worker in West Barnstable, Massachusetts
1538263801- Practice location
- 1170 Main St Rt 6A, West Barnstable, MA 02665
- Phone
- 508-737-2701
- Fax
- 508-548-5789
- Last updated
- July 8, 2007
Timothy Clark is a Social Worker based in West Barnstable, MA. Timothy Clark practices in West Barnstable, MA and has the professional credentials of LICSW. The NPI Number for Timothy Clark is 1538263801 and holds a License No. 105406 (MA). The current practice location address for Timothy Clark is 1170 Main St Rt 6A, West Barnstable, MA 02665 and can be reached out via phone at 508-737-2701 and via fax at 508-548-5789.
Provider Profile Details
- NPI Number
- 1538263801
- Provider Name
- Timothy Clark
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1170 Main St Rt 6A, West Barnstable, MA 02665
- Phone Number
- 508-737-2701
- Fax Number
- 508-548-5789
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 8, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1170 Main St Rt 6A
West Barnstable, MA 02665 - City
- West Barnstable
- State
- Massachusetts
- Zip
- 02665
- Phone Number
- 508-737-2701
- Fax Number
- 508-548-5789
Provider Business Mailing Address Details
- Address
- Po Box 905
Falmouth, MA 02541 - City
- Falmouth
- State
- MA
- Zip
- 02541
- Phone Number
- 508-548-8989
- Fax Number
- 508-548-5789
License Information
- License Number
- 105406
- License State
- MA
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Timothy Clark, LICSW?
The NPI number of Timothy Clark, LICSW is 1538263801. It was assigned on September 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Timothy Clark, LICSW?
Timothy Clark, LICSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 105406.
Where does Timothy Clark, LICSW practice?
The practice location is 1170 Main St Rt 6A, West Barnstable, MA 02665. The office can be reached at 508-737-2701 (phone) or 508-548-5789 (fax).
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 1538263801 directly on the NPPES registry website.