Karyn E Clark, PHD, ACADC is a
Case Manager/care Coordinator based in Modesto, California. Karyn E Clark is licensed to practice in California (license number ) and her current practice location is
2215 Blue Gum Ave, Modesto, California. She can be reached at her office (for appointments etc.) via phone at
(209) 525-4536.
NPI number for Karyn E Clark is 1083748404 and her current mailing address is 800 Scenic Dr, Modesto, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083748404.
Healthcare Provider's Profile
Full Name | Karyn E Clark |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 2215 Blue Gum Ave, Modesto, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083748404
- Provider Enumeration Date: 03/15/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Karyn E Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083748404 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Primary |
171M00000X | Case Manager/care Coordinator | (California) | 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. Karyn E 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 |
Karyn E Clark, PHD, ACADC 800 Scenic Dr, Modesto, CA 95350-6131 Ph: (209) 525-4536 | Karyn E Clark, PHD, ACADC 2215 Blue Gum Ave, Modesto, CA 95358-1052 Ph: (209) 525-4536 |
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