Mrs Cassandra Ann Clark, BA - Counselor in Davenport, WA

Mrs Cassandra Ann Clark, BA is a Counselor - Mental Health based in Davenport, Washington. Mrs Cassandra Ann Clark is licensed to practice in Washington (license number RC00023755) and her current practice location is 49 Park Street, Davenport, Washington. She can be reached at her office (for appointments etc.) via phone at (509) 725-4900.

NPI number for Mrs Cassandra Ann Clark is 1114040979 and her current mailing address is Po Box 502, 815 Se Trinity, Wilbur, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114040979.

Contact Information

Mrs Cassandra Ann Clark, BA
49 Park Street,
Davenport, WA 99122-0421
(509) 725-4900
(509) 725-4901

Map and Direction


Healthcare Provider's Profile

Full NameMrs Cassandra Ann Clark
GenderFemale
SpecialityCounselor - Mental Health
Location49 Park Street, Davenport, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114040979
  • Provider Enumeration Date: 04/09/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Cassandra Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114040979NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health RC00023755 (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. Mrs Cassandra Ann 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 AddressPractice Location Address
Mrs Cassandra Ann Clark, BA
Po Box 502, 815 Se Trinity,
Wilbur, WA 99185-0502

Ph: (509) 647-5730
Mrs Cassandra Ann Clark, BA
49 Park Street,
Davenport, WA 99122-0421

Ph: (509) 725-4900

Reviews and Comments


Counselor in Davenport, WA

Jason E Raugust, MSW, LICSW
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Phone: 765-409-3616    
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Tamra Ann Edmonds,
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Medicare: Not Enrolled in Medicare
Practice Location: 1211 Merriam St, Davenport, WA 99122
Phone: 509-725-3001    

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