| Mr Patrick L Clark, LMSW | |
|
12286 N New Dawn Ave, Oro Valley, AZ 85755-1602 | |
| (708) 473-2043 | |
| Not Available |
| Full Name | Mr Patrick L Clark |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 5 Years |
| Location | 12286 N New Dawn Ave, Oro Valley, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942966346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LMSW-7071T (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pusch Ridge Behavioral Health Llc | 7416310438 | 9 |
| Entity Name | Pusch Ridge Behavioral Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376140459 PECOS PAC ID: 7416310438 Enrollment ID: O20230823004617 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Patrick L Clark, LMSW 12286 N New Dawn Ave, Oro Valley, AZ 85755-1602 Ph: (708) 473-2043 | Mr Patrick L Clark, LMSW 12286 N New Dawn Ave, Oro Valley, AZ 85755-1602 Ph: (708) 473-2043 |
Dr. Mary Jane Coy, PHD, LCSW, CCTP-II Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1521 E Tangerine Rd Ste 329, Oro Valley, AZ 85755 Phone: 520-901-6225 |
Ms. Barbara Mary Miller, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 272 W La Veta Ct, Oro Valley, AZ 85737 Phone: 520-229-1795 |
Areli Parra, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1846 E Innovation Park Dr Ste 100, Oro Valley, AZ 85755 Phone: 602-503-5405 |
Mrs. Eimmy Karen Kafka, LCSW-22883 Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1846 E Innovation Park Dr Ste 100, Oro Valley, AZ 85755 Phone: 623-282-4086 |
Lilliana Magali Hoy-nielsen, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2451 E Skipping Rock Way, Oro Valley, AZ 85737 Phone: 520-909-8829 |
Ms. Deborah Jane Clamp, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11900 N La Canada Dr Unit 69574, Oro Valley, AZ 85737 Phone: 520-297-9836 |
Kayla Elaine Raker, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1846 E Innovation Park Dr Ste 100, Oro Valley, AZ 85755 Phone: 520-227-9912 |