Ryan Clark, CSW, TCADC is a
Social Worker - Clinical based in Mount Washington, Kentucky. Ryan Clark is licensed to practice in Kentucky (license number 258324) and his current practice location is
130 Hope St, Mount Washington, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(404) 395-2355.
NPI number for Ryan Clark is 1730931197 and his current mailing address is 3022 Petty Jay Rd, Louisville, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730931197.
Healthcare Provider's Profile
Full Name | Ryan Clark |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 130 Hope St, Mount Washington, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730931197
- Provider Enumeration Date: 04/01/2024
- Last Update Date: 04/01/2024
Medical Identifiers
Medical identifiers for Ryan Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730931197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 258324 (Kentucky) | 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. Ryan 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 |
Ryan Clark, CSW, TCADC 3022 Petty Jay Rd, Louisville, KY 40220-2828 Ph: (404) 395-2355 | Ryan Clark, CSW, TCADC 130 Hope St, Mount Washington, KY 40047-7772 Ph: (404) 395-2355 |
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