Lorraine Beth Clark, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3276 Issued in HI

Practice address

5202 Texana Dr
Apt #1426
San Antonio, TX 78249-3772

Phone

(210) 724-7798

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lorraine Beth Winston 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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487755351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 TEXANA DR",
            "address_2": "APT #1426",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493772",
            "telephone_number": "210-724-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 TEXANA DR",
            "address_2": "APT #1426",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493772",
            "telephone_number": "210-724-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LORRAINE",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRAINE",
            "last_name": "WINSTON",
            "middle_name": "BETH",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kindra Clark, FNP-C
• Kristi Gayle Clark, M.D.
• Latisha Clark, MS, ATC, LAT
• Lauren Clark, FNP
• Levon Clark Sr., PA
• Michael Anthony Clark, LMT
• Mitzi Clark, RPH
• Moriah Clark
• Nikita Clark
• Nora Laura Clark, SLPA

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.