Active NPI
Lisa Ann Clark, LCSW
- Clinical Social Worker
- Dover, DE
National Provider Identifier
1194248187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- Q1-0001462
- Practice address
- 1114 S Dupont Hwy
Dover, DE 19901-4401 - Phone
- (866) 477-5345
- NPI assigned
- Jul 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Q1-0001462 | DE | Primary |
Addresses
Primary practice location
1114 S Dupont Hwy
Dover, DE 19901-4401
Mailing address
1182 Windrow Way
Magnolia, DE 19962-3679
Phone (610) 306-1190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500508800000",
"number": "1194248187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1182 WINDROW WAY",
"city": "MAGNOLIA",
"state": "DE",
"postal_code": "199623679",
"telephone_number": "610-306-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 S DUPONT HWY",
"city": "DOVER",
"state": "DE",
"postal_code": "199014401",
"telephone_number": "866-477-5345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-20",
"last_updated": "2017-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q1-0001462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.