Active NPIIndividual provider

Brittany A Clark

Community Health Worker in South Hadley, Massachusetts

NPI Number1972133569
Practice location
258 Old Lyman RD, South Hadley, MA 01075-2653
Fax
—
Last updated
January 22, 2020

Brittany Antoinette Clark is a Community Health Worker based in South Hadley, MA. Brittany Antoinette Clark practices in South Hadley, MA. The NPI Number for Brittany Antoinette Clark is 1972133569 and holds a License No. 172V00000X (MA). The current practice location address for Brittany Antoinette Clark is 258 Old Lyman RD, South Hadley, MA 01075-2653 and can be reached out via phone at 413-532-3280.

Provider Profile Details

NPI Number
1972133569
Provider Name
Brittany Antoinette Clark
Provider Entity Type
Individual
Gender
Female
Address
258 Old Lyman RD, South Hadley, MA 01075-2653
Phone Number
413-532-3280
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
No
Provider Enumeration Date
January 22, 2020
Last Update Date
January 22, 2020
Certification Date
January 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
258 Old Lyman RD
South Hadley, MA 01075-2653
Zip
01075-2653
Phone Number
413-532-3280
South Hadley, MA 01075Get directions →

Provider Business Mailing Address Details

Address
258 Old Lyman RD
South Hadley, MA 01075-2653
City
South Hadley
State
MA
Zip
01075-2653

License Information

License Number
172V00000X
License State
MA
Taxonomy
Community Health Worker · 172V00000X · 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 Brittany A Clark?

The NPI number of Brittany A Clark is 1972133569. It was assigned on January 22, 2020 and is currently active in the NPPES registry.

What is the specialty of Brittany A Clark?

Brittany A Clark is registered under the primary taxonomy Community Health Worker (code 172V00000X), licensed in MA under license number 172V00000X.

Where does Brittany A Clark practice?

The practice location is 258 Old Lyman RD, South Hadley, MA 01075-2653. The office can be reached at 413-532-3280 (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 1972133569 directly on the NPPES registry website.

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