Kerry Clark Tomhave, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23690 Issued in MN

Practice address

5 N 3Rd Ave W Ste 310
Duluth, MN 55802-1614

Phone

(218) 722-2368

NPI assigned

Nov 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kerry Elizabeth Clark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1386156123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N 3RD AVE W STE 310",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021614",
            "telephone_number": "218-722-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N 3RD AVE W STE 310",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021614",
            "telephone_number": "218-722-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMHAVE",
        "first_name": "KERRY",
        "middle_name": "CLARK",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "CLARK",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michele M Toftum, RN
• David Tokkesdal
• Sabrina Tollefson, LPCC
• Terese Marie Tomanek, D.C.
• Daniel Mark Tomaszewski, PHARM.D.
• Sophie Tomsky, MSW LICSW
• Michael Thomas Torchia, MD
• Zoe Maureen Torgersen, LPCC
• Robert James Torgrimson, DC DABCO
• Melissa Toso, OT

• Clinical Social Worker in Duluth, MN
• Providers in Duluth, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.