Audrel L Clarke, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

081551 Issued in NY

Practice address

2 Park Ave
Hope Center
Yonkers, NY 10703-3402

Phone

(914) 964-7361

Fax

(914) 964-7321

NPI assigned

Jan 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1528338381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 ANDERSON AVE",
            "address_2": "APT. 5D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104523808",
            "telephone_number": "914-964-7361",
            "fax_number": "914-964-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARK AVE",
            "address_2": "HOPE CENTER",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107033402",
            "telephone_number": "914-964-7361",
            "fax_number": "914-964-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "AUDREL",
        "middle_name": "L",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "070331-1",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "13326",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City Medical of Upper East Side, PLLC
• Bria Clark-Franklin
• Katherine Leigh Clark, LMSW
• Roselyn Clark, LMSW
• Anasia Clarke
• Eartha Clarke, FNP
• Eileen Catherine Clarke, REGISTERED NURSE
• Natoya A Clarke
• Steven Richard Clarry, LMSW
• Frances Camille Clayton, LMSW

• Clinical Social Worker in Yonkers, NY
• Providers in Yonkers, 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 Dec 1, 2020; 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.