Amy M Clark LCSW & Associates LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW018061 Issued in PA

Legal business name

AMY M CLARK LCSW & ASSOCIATES LLC

Practice address

130 Bridge St
Tunkhannock, PA 18657-1354

Phone

(570) 575-2468

NPI assigned

Oct 16, 2015

Organization subpart

No

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

Authorized official

Name

Amy M Clark, LCSWNPI 1497056311

Title

President

Phone

(570) 575-2468

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy M Clark, LCSW

  • Clinical Social Worker
  • Tunkhannock, PA
  • NPI 1497056311
  Medicare reassignment Authorized official
• Alishia Allegrucci, MSW, LSW

  • Social Worker
  • Scranton, PA
  • NPI 1942603865
  NPD
• Tamara Badette, LMSW

  • Social Worker
  • Clarks Summit, PA
  • NPI 1720856594
  NPD
• Michelle Lynn Ostroski, EDD, LSW

  • Social Worker
  • Tunkhannock, PA
  • NPI 1285322925
  NPD
• Kennedy Jordan Straitiff, LSW

  • Social Worker
  • Tunkhannock, PA
  • NPI 1396501565
  NPD
• Amanda Elena Irene Garcia

  • Social Worker
  • Harrisburg, PA
  • NPI 1700464203
  NPD (past)
• Theresa Skotleski

  • Social Worker
  • Peckville, PA
  • NPI 1134886955
  NPD (past)

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1760853774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BRIDGE ST",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186571354",
            "telephone_number": "570-575-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BRIDGE ST",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186571354",
            "telephone_number": "570-575-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY M CLARK LCSW & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-575-2468",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Better Today, Inc.
• Amalie Group LLC (Tunkhannock Compounding Center)
• Christopher D. Andres, MD
• Kevin E Ayers, D.C.
• Susan Barber-Rosengrant, O.D.
• Nicole Marie Barnard, D.C.
• Jonathan Michael Bartell, PHARM D

• Clinical Social Worker in Tunkhannock, PA
• Providers in Tunkhannock, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.