Jill Ann Blount-clark, MSW is a
Social Worker - Clinical based in Counce, Tennessee. Jill Ann Blount-clark is licensed to practice in Tennessee (license number 6760) and her current practice location is
35 Brittney Cv, Counce, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(615) 653-8194.
NPI number for Jill Ann Blount-clark is 1366570095 and her current mailing address is 35 Brittney Cv, Counce, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366570095.
Healthcare Provider's Profile
| Full Name | Jill Ann Blount-clark |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 35 Brittney Cv, Counce, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366570095
- Provider Enumeration Date: 03/02/2007
- Last Update Date: 09/06/2018
Medical Identifiers
Medical identifiers for Jill Ann Blount-clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366570095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 6760 (Tennessee) | 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. Jill Ann Blount-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 |
|---|
Jill Ann Blount-clark, MSW
35 Brittney Cv,
Counce, TN 38326-8805
Ph: (615) 653-8194 | Jill Ann Blount-clark, MSW
35 Brittney Cv,
Counce, TN 38326
Ph: (615) 653-8194 |
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