MR. TODD ANTHONY LARK SR. CSW NPI 1124598511

NPI Information

NPI: 1124598511
Provider Name: MR. TODD ANTHONY LARK, SR., CSW
Classification: Counselor - 101YS0200X
Entity Type: Individual

Specialization: School

Address:
935 CONTESSA DR
MURFREESBORO, TN
ZIP 37128
Phone: (615) 573-9089
Get Directions

MR. Todd Anthony Lark, Sr., CSW is a school counselor in Murfreesboro, TN. MR. Todd Anthony Lark, Sr., CSW NPI is 1124598511. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

935 CONTESSA DR
MURFREESBORO, TN
ZIP 37128-276
Phone: (615) 573-9089

The enumeration date for this NPI number is 11/28/2018 and was last updated on 11/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		000189998	TENNESSEE	No
2	101YM0800X	Counselor	Mental Health	000189998	TENNESSEE	No
3	104100000X	Social Worker		000189998	TENNESSEE	No
4	1041C0700X	Social Worker	Clinical	000189998	TENNESSEE	No
5	1041S0200X	Social Worker	School	000189998	TENNESSEE	No
6	171M00000X	Case Manager/Care Coordinator		000189998	TENNESSEE	No
7	101YS0200X	Counselor	School	000189998	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1503964	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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