Catherine Anne Clark, LCMHC is a
Counselor - Mental Health based in Derby Line, Vermont. Catherine Anne Clark is licensed to practice in Vermont (license number 068.0136420) and her current practice location is
692 Elm St, Derby Line, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 673-8430.
NPI number for Catherine Anne Clark is 1659186138 and her current mailing address is 692 Elm St, Derby Line, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659186138.
Healthcare Provider's Profile
Full Name | Catherine Anne Clark |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 692 Elm St, Derby Line, Vermont |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659186138
- Provider Enumeration Date: 02/11/2025
- Last Update Date: 02/11/2025
Medical Identifiers
Medical identifiers for Catherine Anne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659186138 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 068.0136420 (Vermont) | 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. Catherine Anne 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 |
Catherine Anne Clark, LCMHC 692 Elm St, Derby Line, VT 05830-8730 Ph: (802) 673-8430 | Catherine Anne Clark, LCMHC 692 Elm St, Derby Line, VT 05830-8730 Ph: (802) 673-8430 |
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