BRIANNA LYN CLARK LCSW NPI 1124527387

NPI Information

NPI: 1124527387
Provider Name: BRIANNA LYN CLARK, LCSW
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
620 WASHINGTON AVE
RENSSELAER, NY
ZIP 12144
Phone: (518) 272-7073
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Brianna Lyn Clark, LCSW is a student in an organized health care education training program in Rensselaer, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Brianna Lyn Clark, LCSW NPI is 1124527387. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

620 WASHINGTON AVE
RENSSELAER, NY
ZIP 12144-300
Phone: (518) 272-7073

The enumeration date for this NPI number is 2/2/2018 and was last updated on 10/4/2022.

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	1041C0700X	Social Worker	Clinical	092224	NEW YORK	No
2	390200000X	Student in an Organized Health Care Education/Training Program				Yes

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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