Jennifer R Clark, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hood River, Oregon. Her current practice location is
208 State Street, Hood River, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 429-1064.
Jennifer R Clark is licensed to practice in Oregon (license number L3395) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770639734.
Healthcare Provider's Profile
Full Name | Jennifer R Clark |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 208 State Street, Hood River, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770639734
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 08/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557403037
- Enrollment ID: I20100121000407
Medical Identifiers
Medical identifiers for Jennifer R Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770639734 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | L3395 (Oregon) | Secondary |
1041C0700X | Social Worker - Clinical | L3395 (Oregon) | 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. Jennifer R Clark is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer R Clark, MSW, LCSW 830 Country Club Rd, Hood River, OR 97031-9734 Ph: (541) 429-1064 | Jennifer R Clark, MSW, LCSW 208 State Street, Hood River, OR 97031-9734 Ph: (541) 429-1064 |
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