Active NPIIndividual providerSole proprietor

Judy Clarke

Social Worker, Clinical in Avenel, New Jersey

NPI Number1972199024
Practice location
104 Peach St, Avenel, NJ 07001-1002
Fax
—
Last updated
December 14, 2020

Judy Clarke is a Social Worker, Clinical based in Avenel, NJ. Judy Clarke practices in Avenel, NJ. The NPI Number for Judy Clarke is 1972199024 and holds a License No. 090542 (NY). The current practice location address for Judy Clarke is 104 Peach St, Avenel, NJ 07001-1002 and can be reached out via phone at 516-647-8758.

Provider Profile Details

NPI Number
1972199024
Provider Name
Judy Clarke
Provider Entity Type
Individual
Gender
Female
Address
104 Peach St, Avenel, NJ 07001-1002
Phone Number
516-647-8758
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 14, 2020
Last Update Date
December 14, 2020
Certification Date
December 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
104 Peach St
Avenel, NJ 07001-1002
City
Avenel
Zip
07001-1002
Phone Number
516-647-8758
Avenel, NJ 07001Get directions →

Provider Business Mailing Address Details

Address
104 Peach St
Avenel, NJ 07001-1002
City
Avenel
State
NJ
Zip
07001-1002

License Information

License Number
090542
License State
NY
Taxonomy
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 Judy Clarke?

The NPI number of Judy Clarke is 1972199024. It was assigned on December 14, 2020 and is currently active in the NPPES registry.

What is the specialty of Judy Clarke?

Judy Clarke is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 090542.

Where does Judy Clarke practice?

The practice location is 104 Peach St, Avenel, NJ 07001-1002. The office can be reached at 516-647-8758 (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 1972199024 directly on the NPPES registry website.

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