Ms Jennifer Kathleen Clark, LCSW - Clinical Social Worker in Dalton, GA

Ms Jennifer Kathleen Clark, LCSW is a Social Worker - Clinical based in Dalton, Georgia. Ms Jennifer Kathleen Clark is licensed to practice in Georgia (license number CSW007692) and her current practice location is 1414 Dug Gap Rd, Dalton, Georgia. She can be reached at her office (for appointments etc.) via phone at (706) 279-0405.

NPI number for Ms Jennifer Kathleen Clark is 1598439929 and her current mailing address is 1414 Dug Gap Rd, Dalton, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598439929.

Contact Information

Ms Jennifer Kathleen Clark, LCSW
1414 Dug Gap Rd,
Dalton, GA 30720-5007
(706) 279-0405
Not Available



Healthcare Provider's Profile

Full NameMs Jennifer Kathleen Clark
GenderFemale
SpecialitySocial Worker - Clinical
Location1414 Dug Gap Rd, Dalton, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1598439929
  • Provider Enumeration Date: 08/09/2021
  • Last Update Date: 08/09/2021

Medical Identifiers

Medical identifiers for Ms Jennifer Kathleen Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598439929NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical CSW007692 (Georgia)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. Ms Jennifer Kathleen 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
Ms Jennifer Kathleen Clark, LCSW
1414 Dug Gap Rd,
Dalton, GA 30720-5007

Ph: (706) 279-0405
Ms Jennifer Kathleen Clark, LCSW
1414 Dug Gap Rd,
Dalton, GA 30720-5007

Ph: (706) 279-0405

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› Verified 8 days ago


Social Worker in Dalton, GA

Milton Brown Jr., LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 813 Piedmont Ln, Dalton, GA 30720
Phone: 404-468-4956    
Mr. Robert Travis Hurd, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 203 N Thornton Ave, Dalton, GA 30720
Phone: 678-986-5060    Fax: 706-275-8134
Steven Cooper, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 710 S Thornton Ave Ste F, Dalton, GA 30720
Phone: 706-934-1816    
Ms. Ann H Davies, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 900 Shugart Rd, Dalton, GA 30720
Phone: 706-270-5100    Fax: 706-270-5066
Ashley Smith,
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 900 Shugart Rd, Dalton, GA 30720
Phone: 706-270-5005    
Marlen Rodriguez-sandoval,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 710 S Thornton Ave Ste F, Dalton, GA 30720
Phone: 706-618-1552    
Karen M. Allen, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 306 N Thornton Ave, Dalton, GA 30720
Phone: 706-509-0130    Fax: 706-237-6503

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