Mr Walter Ken Clark, MSSW in Fort Leonard Wood, MO - Medicare Social Worker Provider

Mr Walter Ken Clark, MSSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Leonard Wood, Missouri. His current practice location is 126 Missouri Ave, Glwach Attn Mcxp-ccs-cr, Fort Leonard Wood, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 596-0417.

Mr Walter Ken Clark is licensed to practice in Missouri (license number 002396) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417933037.

Contact Information

	Mr Walter Ken Clark, MSSW
	126 Missouri Ave, Glwach Attn Mcxp-ccs-cr, Fort Leonard Wood, MO 65473-8952
	(573) 596-0417
	(573) 596-0524

Healthcare Provider's Profile

Full Name	Mr Walter Ken Clark
Gender	Male
Speciality	Social Worker - Clinical
Location	126 Missouri Ave, Fort Leonard Wood, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417933037
Provider Enumeration Date: 12/15/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9537343686
Enrollment ID: I20150506001384

Medical Identifiers

Medical identifiers for Mr Walter Ken Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417933037	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	002396 (Missouri)	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 Walter Ken Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Walter Ken Clark, MSSW 126 Missouri Ave, Glwach Attn Mcxp-ccs-cr, Fort Leonard Wood, MO 65473-8952 Ph: (573) 596-0417	Mr Walter Ken Clark, MSSW 126 Missouri Ave, Glwach Attn Mcxp-ccs-cr, Fort Leonard Wood, MO 65473-8952 Ph: (573) 596-0417

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Social Worker in Fort Leonard Wood, MO

Erica L Asbell, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0522
Barbara Ann Welch, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Stephen Lindsey Dunaway, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0522
Mr. Bruce Franklin Burgo, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-1507
Nicole Campbell, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-9524
Mr. Randall Allen Whitaker, MSW, LCSW, CASAC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Keonyoung Lim, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0131

Mr Walter Ken Clark, MSSW - Medicare Clinical Social Worker in Fort Leonard Wood, MO