Mariella E Clark, LCSW is a 
Social Worker - Clinical based in Lakeside, Texas. Mariella E Clark is licensed to practice in Texas (license number 57729) and her current practice location is 
121 Oakwood Ct, Lakeside, Texas. She can be reached at her office (for appointments etc.) via phone at 
(817) 779-0850.
NPI number for Mariella E Clark is 1245798156 and her current mailing address is 121 Oakwood Ct, Lakeside, Texas. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245798156.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Mariella E Clark | 
|---|
| Gender | Female | 
|---|
| Speciality | Social Worker - Clinical | 
|---|
| Location | 121 Oakwood Ct, Lakeside, Texas | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1245798156
 - Provider Enumeration Date: 03/10/2019
 - Last Update Date: 12/15/2019
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Mariella E Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1245798156 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 1041C0700X | Social Worker - Clinical  | 57729 (Texas) | 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. Mariella 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 | 
		Mariella E Clark, LCSW 121 Oakwood Ct, Lakeside, TX 76135-4932 Ph: (817) 779-0850 | Mariella E Clark, LCSW 121 Oakwood Ct, Lakeside, TX 76135-4932 Ph: (817) 779-0850 | 
		
		 
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