Active NPIIndividual provider

Ms. Coral J Clark, MS, LSW

Counselor, Mental Health in Brick, New Jersey

NPI Number1558847343
Practice location
1500 Route 88 W, Brick, NJ 08724-2320
Fax
—
Last updated
July 14, 2018

Coral June Clark is a Counselor, Mental Health based in Brick, NJ. Coral June Clark practices in Brick, NJ and has the professional credentials of MS, LSW. The NPI Number for Coral June Clark is 1558847343 and holds a License No. 44SL06366100 (NJ). The current practice location address for Coral June Clark is 1500 Route 88 W, Brick, NJ 08724-2320 and can be reached out via phone at 732-785-1900.

Provider Profile Details

NPI Number
1558847343
Provider Name
Coral June Clark
Credential
MS, LSW
Provider Entity Type
Individual
Gender
Female
Address
1500 Route 88 W, Brick, NJ 08724-2320
Phone Number
732-785-1900
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
July 14, 2018
Last Update Date
July 14, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1500 Route 88 W
Brick, NJ 08724-2320
City
Brick
Zip
08724-2320
Phone Number
732-785-1900
Brick, NJ 08724Get directions →

Provider Business Mailing Address Details

Address
482 Muller Ave
Bayville, NJ 08721-3444
City
Bayville
State
NJ
Zip
08721-3444
Phone Number
732-770-0019

License Information

License Number (1)
44SL06366100
License State (1)
NJ
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
44SL06366100
License State (2)
NJ
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · 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 Ms. Coral J Clark, MS, LSW?

The NPI number of Ms. Coral J Clark, MS, LSW is 1558847343. It was assigned on July 14, 2018 and is currently active in the NPPES registry.

What is the specialty of Ms. Coral J Clark, MS, LSW?

Ms. Coral J Clark, MS, LSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 44SL06366100.

Where does Ms. Coral J Clark, MS, LSW practice?

The practice location is 1500 Route 88 W, Brick, NJ 08724-2320. The office can be reached at 732-785-1900 (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 1558847343 directly on the NPPES registry website.

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