Mr Gregory D Clark, MSW - Clinical Social Worker in Fargo, ND

Mr Gregory D Clark, MSW is a Social Worker - Clinical based in Fargo, North Dakota. Mr Gregory D Clark is licensed to practice in North Dakota (license number LICSW 2973) and his current practice location is 118 Broadway N, Ste 810, Fargo, North Dakota. He can be reached at his office (for appointments etc.) via phone at (701) 799-8785.

NPI number for Mr Gregory D Clark is 1689608952 and his current mailing address is 118 Broadway N, Ste 810, Fargo, North Dakota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689608952.

Contact Information

Mr Gregory D Clark, MSW
118 Broadway N, Ste 810,
Fargo, ND 58102-4949
(701) 799-8785
(701) 205-4930



Healthcare Provider's Profile

Full NameMr Gregory D Clark
GenderMale
SpecialitySocial Worker - Clinical
Location118 Broadway N, Fargo, North Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689608952
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 03/25/2016

Medical Identifiers

Medical identifiers for Mr Gregory D Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689608952NPI-NPPES
015066OtherNDBCBS OF ND PIN
03Q32CLOtherMNBCBS OF MN PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical LICSW 2973 (North Dakota)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. Mr Gregory D 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 AddressPractice Location Address
Mr Gregory D Clark, MSW
118 Broadway N, Ste 810,
Fargo, ND 58102-4949

Ph: (701) 799-8785
Mr Gregory D Clark, MSW
118 Broadway N, Ste 810,
Fargo, ND 58102-4949

Ph: (701) 799-8785

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› Verified 6 days ago


Social Worker in Fargo, ND

Rachel Marsolek, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 721 1st Ave N, Fargo, ND 58102
Phone: 701-461-7364    
Brittany Joy Alexander,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2101 Elm St N, Fargo, ND 58102
Phone: 701-232-3241    
Tracy E Mohn, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 100 4th St S, Fargo, ND 58103
Phone: 701-234-3106    Fax: 701-234-3106
Rachel Salquist, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2101 Elm St N, Fargo, ND 58102
Phone: 701-232-3241    
Tracy M Foldesi-penas, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 100 4th St S, Fargo, ND 58103
Phone: 701-234-3100    Fax: 701-234-3120
Lindsey Leigh Krueger, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 6046 14th St S, Fargo, ND 58104
Phone: 701-404-0997    Fax: 701-566-8876
Deonne J Varriano, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2624 9th Ave S, Fargo, ND 58103
Phone: 701-298-4500    Fax: 701-298-4400

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