Hazel Clark, - Counselor in Albany, NY

Hazel Clark, is a Counselor - Mental Health based in Albany, New York. Hazel Clark is licensed to practice in New York (license number 012865-01) and her current practice location is 139 Vly Rd, Albany, New York. She can be reached at her office (for appointments etc.) via phone at (518) 609-4271.

NPI number for Hazel Clark is 1124736673 and her current mailing address is 139 Vly Rd, Albany, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124736673.

Contact Information

Hazel Clark,
139 Vly Rd,
Albany, NY 12205-2212
(518) 609-4271
(518) 609-4269

Healthcare Provider's Profile

Full NameHazel Clark
GenderFemale
SpecialityCounselor - Mental Health
Location139 Vly Rd, Albany, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124736673
  • Provider Enumeration Date: 11/14/2022
  • Last Update Date: 11/14/2022

Medical Identifiers

Medical identifiers for Hazel Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124736673NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 012865-01 (New York)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. Hazel 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
Hazel Clark,
139 Vly Rd,
Albany, NY 12205-2212

Ph: () -
Hazel Clark,
139 Vly Rd,
Albany, NY 12205-2212

Ph: (518) 609-4271

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