Vicki Lynn Clark, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1923-C Issued in AR

Practice address

601 Highway 6 W
Iowa City, IA 52246-2209

Phone

(563) 332-8528

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life Strategies of Arkansas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Memphis, AR
  • NPI 1528204468
  NPD (past)
• Life Strategies of Arkansas, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Memphis, AR
  • NPI 1700950011
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1215041249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 RTE 2",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610219121",
            "telephone_number": "630-696-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HIGHWAY 6 W",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522462209",
            "telephone_number": "563-332-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "VICKI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1923-C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Donald Clark, PT
• Steven Heyen Clark, DDS
• Tacie A Clark
• Teresa Joan Clark, RD, LD
• Toniel Clark
• William D Clark, MD
• Jennifer Clasen, RD, LD
• Michelle Lee Clasen, PHARMD
• Amaya Clausen
• Jacqueline Alexandra Clauss, MD

• Clinical Social Worker in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.