Lavon Clark, LMFTA is a
Marriage & Family Therapist based in Newcastle, Washington. Lavon Clark is licensed to practice in Washington (license number MG61288174) and her current practice location is
7100 132nd Pl Se, Newcastle, Washington. She can be reached at her office (for appointments etc.) via phone at
(425) 249-8357.
NPI number for Lavon Clark is 1952983033 and her current mailing address is 6947 Coal Creek Pkwy Se # 267, Newcastle, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952983033.
Healthcare Provider's Profile
Full Name | Lavon Clark |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 7100 132nd Pl Se, Newcastle, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952983033
- Provider Enumeration Date: 04/27/2021
- Last Update Date: 11/03/2023
Medical Identifiers
Medical identifiers for Lavon Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952983033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | MG61288174 (Washington) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | MG61288174 (Washington) | 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. Lavon 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 |
Lavon Clark, LMFTA 6947 Coal Creek Pkwy Se # 267, Newcastle, WA 98059-3136 Ph: () - | Lavon Clark, LMFTA 7100 132nd Pl Se, Newcastle, WA 98059-3035 Ph: (425) 249-8357 |
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