Active NPIIndividual providerSole proprietor

Mrs. Keri L Clark, LICSW

Social Worker, Clinical in East Bridgewater, Massachusetts

NPI Number1972827426
Practice location
36 N Bedford St, Suite 4, East Bridgewater, MA 02333-1186
Fax
—
Last updated
March 25, 2010

Keri L. Clark is a Social Worker, Clinical based in East Bridgewater, MA. Keri L. Clark practices in East Bridgewater, MA and has the professional credentials of LICSW. The NPI Number for Keri L. Clark is 1972827426 and holds a License No. 115570 (MA). The current practice location address for Keri L. Clark is 36 N Bedford St, Suite 4, East Bridgewater, MA 02333-1186 and can be reached out via phone at 508-345-8453.

Provider Profile Details

NPI Number
1972827426
Provider Name
Keri L. Clark
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
36 N Bedford St, Suite 4, East Bridgewater, MA 02333-1186
Phone Number
508-345-8453
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 25, 2010
Last Update Date
March 25, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
36 N Bedford St
Suite 4
East Bridgewater, MA 02333-1186
Zip
02333-1186
Phone Number
508-345-8453
East Bridgewater, MA 02333Get directions →

Provider Business Mailing Address Details

Address
221 Oak St Apt 63
Brockton, MA 02301-1369
City
Brockton
State
MA
Zip
02301-1369
Phone Number
508-345-8453

License Information

License Number
115570
License State
MA
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 Mrs. Keri L Clark, LICSW?

The NPI number of Mrs. Keri L Clark, LICSW is 1972827426. It was assigned on March 25, 2010 and is currently active in the NPPES registry.

What is the specialty of Mrs. Keri L Clark, LICSW?

Mrs. Keri L Clark, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 115570.

Where does Mrs. Keri L Clark, LICSW practice?

The practice location is 36 N Bedford St, Suite 4, East Bridgewater, MA 02333-1186. The office can be reached at 508-345-8453 (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 1972827426 directly on the NPPES registry website.

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