Clifford Jovan Clark, LLMSW is a
Marriage & Family Therapist based in Novi, Michigan. Clifford Jovan Clark is licensed to practice in Michigan (license number 6801100714) and his current practice location is
44070 W 12 Mile Rd, Suite 200, Novi, Michigan. He can be reached at his office (for appointments etc.) via phone at
(248) 773-8440.
NPI number for Clifford Jovan Clark is 1649711615 and his current mailing address is 44070 W 12 Mile Rd, Suite 200, Novi, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649711615.
Healthcare Provider's Profile
| Full Name | Clifford Jovan Clark |
|---|
| Gender | Male |
|---|
| Speciality | Marriage & Family Therapist |
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| Location | 44070 W 12 Mile Rd, Novi, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649711615
- Provider Enumeration Date: 03/10/2017
- Last Update Date: 03/10/2017
Medical Identifiers
Medical identifiers for Clifford Jovan Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649711615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 6801100714 (Michigan) | Secondary |
| 101YP1600X | Counselor - Pastoral | 6801100714 (Michigan) | Secondary |
| 101YP2500X | Counselor - Professional | 6801100714 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801100714 (Michigan) | Secondary |
| 106H00000X | Marriage & Family Therapist | 6801100714 (Michigan) | 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. Clifford Jovan 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 |
Clifford Jovan Clark, LLMSW 44070 W 12 Mile Rd, Suite 200, Novi, MI 48377-2648 Ph: (248) 773-8440 | Clifford Jovan Clark, LLMSW 44070 W 12 Mile Rd, Suite 200, Novi, MI 48377-2648 Ph: (248) 773-8440 |
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