Nancy L Clark, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078484 Issued in NY

Practice address

239 Golden Hill LN
Ulster County Mental Health
Kingston, NY 12401-6441

Phone

(845) 340-4018

Fax

(845) 340-4070

NPI assigned

Jul 28, 2006

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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grunblatt Psychology and Counseling Offices, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kingston, NY
  • NPI 1730325531
  Medicare reassignment NPD
• Hambright Medical, PLLC

  • Addiction Medicine (Family Medicine) Physician
  • Kingston, NY
  • NPI 1275331456
  NPD
• Andrea Grunblatt Psychology, PLLC

  • Clinical Psychologist
  • Kingston, NY
  • NPI 1255606406
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1497769897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GREEN ST",
            "address_2": "ULSTER COUNTY MENTAL HEALTH",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014422",
            "telephone_number": "845-331-3001",
            "fax_number": "845-335-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 GOLDEN HILL LN",
            "address_2": "ULSTER COUNTY MENTAL HEALTH",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016441",
            "telephone_number": "845-340-4018",
            "fax_number": "845-340-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NANCY",
        "middle_name": "L",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Cichetti, RN
• Jessica Cingel, CNM, LM, PMHNP, NP-P
• Thomas Frank Cingel, D.D.S
• Sharon E Cirafice, PTA
• City of Kingston
• Olivia Clark, MSW
• Jennifer Clarke, LPN
• Mary Ann Clausson
• Lanny L Cleary, NURSE PRACTITIONER
• Clinical Prosthetics & Orthotics, LLC

• Clinical Social Worker in Kingston, NY
• Providers in Kingston, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.