Organization Active NPI

Helen Y Clark Company

  • Clinical Social Worker
  • Moncks Corner, SC
National Provider Identifier
1366883464
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2212 Issued in SC
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Dr. Helen Yolanda Clark, PHDNPI 1326099706
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
QM0260MedicaidSC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.