Marlene F Clark, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS22507 Issued in CA

Practice address

805 E Mountain View St
Barstow, CA 92311-3033

Phone

(760) 256-5026

Fax

(760) 256-5092

NPI assigned

Feb 12, 2007

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 identifiers 1

Other names 1

• Mrs. Marlene F Lund Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1609917400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E MOUNTAIN VIEW ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113033",
            "telephone_number": "760-256-5026",
            "fax_number": "760-256-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E MOUNTAIN VIEW ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113033",
            "telephone_number": "760-256-5026",
            "fax_number": "760-256-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MARLENE",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SW",
            "identifier": "LCS22507",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENE",
            "last_name": "LUND",
            "middle_name": "F",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eunhyo Choi, DDS
• Choice Healthcare Associates Inc
• Tak Keung Chow, M.D.
• Phillip M. Church
• Miah Cisneros
• Paul Clemmons
• Lilian Naomy Climaco
• Michael Ann Cline, CADC LL -CA
• Reginald Eugene Cole Jr.
• Scott Coleman

• Clinical Social Worker in Barstow, CA
• Providers in Barstow, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.