Active NPI
Helen Y Clark Company
- Clinical Social Worker
- Moncks Corner, SC
National Provider Identifier
1366883464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2212
- Legal business name
- HELEN Y CLARK COMPANY
- Practice address
- 223 1St St
Moncks Corner, SC 29461-3726 - Phone
- (843) 761-5707
- Fax
- (843) 899-2184
- NPI assigned
- Jul 17, 2013
- Last updated
- Jul 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Helen Yolanda Clark, PHD
- Title
- President/Owner
- Phone
- (843) 761-5707
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2212 | SC | Primary |
Addresses
Primary practice location
223 1St St
Moncks Corner, SC 29461-3726
Mailing address
223 1St St
Moncks Corner, SC 29461-3726
Phone (843) 761-5707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QM0260 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
223 1st St
Moncks Corner, SC 29461
Phone (843) 761-5707
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Moncks Corner, SC
- NPI 1326099706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374019200000",
"number": "1366883464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 1ST ST",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294613726",
"telephone_number": "843-761-5707",
"fax_number": "843-899-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 1ST ST",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294613726",
"telephone_number": "843-761-5707",
"fax_number": "843-899-2184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HELEN Y CLARK COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-17",
"last_updated": "2013-07-17",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "HELEN",
"authorized_official_middle_name": "YOLANDA",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "843-761-5707",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "2212",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "QM0260",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.