Jason Matthew Clark, LICSW is a
Social Worker - Clinical based in Toney, Alabama. Jason Matthew Clark is licensed to practice in Alabama (license number 5478C) and his current practice location is
9869 Pulaski Pike Ste C, Toney, Alabama. He can be reached at his office (for appointments etc.) via phone at
(256) 850-4091.
NPI number for Jason Matthew Clark is 1104699586 and his current mailing address is 9869 Pulaski Pike Ste C, Toney, Alabama. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104699586.
Healthcare Provider's Profile
| Full Name | Jason Matthew Clark |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 9869 Pulaski Pike Ste C, Toney, Alabama |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104699586
- Provider Enumeration Date: 11/06/2023
- Last Update Date: 11/09/2025
Medical Identifiers
Medical identifiers for Jason Matthew Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104699586 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 5478C (Alabama) | 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. Jason Matthew 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 |
Jason Matthew Clark, LICSW 9869 Pulaski Pike Ste C, Toney, AL 35773-7201 Ph: (256) 850-4091 | Jason Matthew Clark, LICSW 9869 Pulaski Pike Ste C, Toney, AL 35773-7201 Ph: (256) 850-4091 |
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