Clark, Susan

Clark, Susan is an sole proprietor health care provider with primary practice located at 914 E Broadway 3Rd Floor, Louisville KY 40204-1037. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Clark, Susan can be contacted via phone (502) 589-8600.

Contact Information

Primary practice address
914 E Broadway 3Rd Floor Louisville KY 40204-1037
Phone: (502) 589-8600
Fax: (502) 589-8771
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2013-007 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5049 Kentucky

Profile Details

NPI number 1619268422
LBN Legal business name Clark, Susan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2011
Last updated Nov 3rd, 2015 - about 10 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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