Mrs Thewana Lakesha Clark, LCSW in Apison, TN - Social Worker

Mrs Thewana Lakesha Clark, LCSW is a Social Worker - Clinical based in Apison, Tennessee. Mrs Thewana Lakesha Clark is licensed to practice in Tennessee (license number LSW0000005413) and her current practice location is 3558 Hawks Creek Dr, Apison, Tennessee. She can be reached at her office (for appointments etc.) via phone at (423) 987-5636.

NPI number for Mrs Thewana Lakesha Clark is 1447976089 and her current mailing address is 3558 Hawks Creek Dr, Apison, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447976089.

Contact Information

	Mrs Thewana Lakesha Clark, LCSW
	3558 Hawks Creek Dr, Apison, TN 37302-6000
	(423) 987-5636
	Not Available

Healthcare Provider's Profile

Full Name	Mrs Thewana Lakesha Clark
Gender	Female
Speciality	Social Worker - Clinical
Location	3558 Hawks Creek Dr, Apison, Tennessee
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1447976089
Provider Enumeration Date: 10/17/2022
Last Update Date: 10/17/2022

Medical Identifiers

Medical identifiers for Mrs Thewana Lakesha Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447976089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LSW0000005413 (Tennessee)	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. Mrs Thewana Lakesha 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
Mrs Thewana Lakesha Clark, LCSW 3558 Hawks Creek Dr, Apison, TN 37302-6000 Ph: () -	Mrs Thewana Lakesha Clark, LCSW 3558 Hawks Creek Dr, Apison, TN 37302-6000 Ph: (423) 987-5636

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Mrs Thewana Lakesha Clark, LCSW - Clinical Social Worker in Apison, TN