Anaddia S Clark, in Milwaukee, WI - Social Worker

Anaddia S Clark, is a Social Worker - Clinical based in Milwaukee, Wisconsin. Anaddia S Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is 4929 W Fond Du Lac Aveune, Milwaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (414) 871-6122.

NPI number for Anaddia S Clark is 1003458068 and her current mailing address is 4929 W Fond Du Lac Aveune, Milwaukee, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003458068.

Contact Information

	Anaddia S Clark,
	4929 W Fond Du Lac Aveune, Milwaukee, WI 53216-2324
	(414) 871-6122
	(414) 871-2552

Healthcare Provider's Profile

Full Name	Anaddia S Clark
Gender	Female
Speciality	Social Worker - Clinical
Location	4929 W Fond Du Lac Aveune, Milwaukee, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1003458068
Provider Enumeration Date: 10/11/2019
Last Update Date: 10/11/2019

Medical Identifiers

Medical identifiers for Anaddia S Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003458068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anaddia S Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Anaddia S Clark, 4929 W Fond Du Lac Aveune, Milwaukee, WI 53216-2324 Ph: (414) 871-6122	Anaddia S Clark, 4929 W Fond Du Lac Aveune, Milwaukee, WI 53216-2324 Ph: (414) 871-6122

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Anaddia S Clark, - Clinical Social Worker in Milwaukee, WI