Clark, Nicole Elizabeth

Clark, Nicole Elizabeth is an individual health care provider with primary practice located at 7266 Buckley Rd , North Syracuse NY 13212-2649. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Clark, Nicole Elizabeth can be contacted via phone (315) 458-0919.

Contact Information

Primary practice address
7266 Buckley Rd North Syracuse NY 13212-2649
Phone: (315) 458-0919
Fax: (315) 458-0954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X 123078 New York

Profile Details

NPI number 1407697717
LBN Legal business name Clark, Nicole Elizabeth
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2024
Last updated Jun 3rd, 2024 - about last year

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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