Clark, Andrea

Clark, Andrea is an individual health care provider with primary practice located at 120 W 57Th St 8Th Floor, New York NY 10019-3320. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Clark, Andrea can be contacted via phone (212) 632-4674.

Contact Information

Primary practice address
120 W 57Th St 8Th Floor New York NY 10019-3320
Phone: (212) 632-4674
Fax: (212) 632-4495
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 069627-1 New York

Profile Details

NPI number 1477593580
LBN Legal business name Clark, Andrea
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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