McShell Clarke

Individual provider Active NPI Community Health Worker · Topeka, KS

NPI 1124389879 · NPPES record last updated May 30, 2012

Key facts

NPI
1124389879
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
325 SW Frazier Ave
Topeka, KS 66606-1963
Phone
(785) 232-5005
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

325 SW Frazier Ave
Topeka, KS 66606-1963

Mailing address

3419 SE Powell St
Topeka, KS 66605-2445
Phone (785) 267-4810

Other providers in Topeka, KS

All providers in Topeka, KS · Community Health Worker in Kansas

Sources for this page

Verify at the official NPI Registry.