Active NPIIndividual providerSole proprietor

Teresa Clark, LCSW, LADC

Social Worker, Clinical in Wiscasset, Maine

NPI Number1538373337
Practice location
721 Bath RD, Wiscasset, ME 04578-4830
Fax
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Last updated
April 13, 2018

Teresa Clark is a Social Worker, Clinical based in Wiscasset, ME. Teresa Clark practices in Wiscasset, ME and has the professional credentials of LCSW, LADC. The NPI Number for Teresa Clark is 1538373337 and holds a License No. LC3953 (ME). The current practice location address for Teresa Clark is 721 Bath RD, Wiscasset, ME 04578-4830 and can be reached out via phone at 207-882-5300.

Provider Profile Details

NPI Number
1538373337
Provider Name
Teresa Clark
Credential
LCSW, LADC
Provider Entity Type
Individual
Gender
Female
Address
721 Bath RD, Wiscasset, ME 04578-4830
Phone Number
207-882-5300
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 10, 2007
Last Update Date
April 13, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
721 Bath RD
Wiscasset, ME 04578-4830
State
Maine
Zip
04578-4830
Phone Number
207-882-5300
Wiscasset, ME 04578Get directions →

Provider Business Mailing Address Details

Address
721 Bath RD
Wiscasset, ME 04578-4830
City
Wiscasset
State
ME
Zip
04578-4830
Phone Number
207-882-5300

License Information

License Number (1)
LC3953
License State (1)
ME
License Number (2)
LC10536
License State (2)
ME
Taxonomy (2)
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 Teresa Clark, LCSW, LADC?

The NPI number of Teresa Clark, LCSW, LADC is 1538373337. It was assigned on May 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Teresa Clark, LCSW, LADC?

Teresa Clark, LCSW, LADC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC3953.

Where does Teresa Clark, LCSW, LADC practice?

The practice location is 721 Bath RD, Wiscasset, ME 04578-4830. The office can be reached at 207-882-5300 (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 1538373337 directly on the NPPES registry website.

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