Clark, Stephanie Denise

Clark, Stephanie Denise is an sole proprietor health care provider with primary practice located at 130 W Kingsbridge Rd Room 5B-07, Bronx NY 10468-3904. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Clark, Stephanie Denise can be contacted via phone (718) 584-9000.

Contact Information

Primary practice address
130 W Kingsbridge Rd Room 5B-07 Bronx NY 10468-3904
Phone: (718) 584-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Social Worker 104100000X 080972-1 New York

Profile Details

NPI number 1356512149
LBN Legal business name Clark, Stephanie Denise
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2008
Last updated Oct 8th, 2013 - about 11 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.

Request for update

Popular Providers