DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA C CLARK

Active

LISA C CLARK is a Clinical Social Worker healthcare provider located in TOMAH, Wisconsin. NPI 1194888222 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · TOMAH, WI

Registration Details

NPI Number
1194888222
Provider Type
Individual
Gender
Female
NPI Issued
Dec 19, 2006 (19.650469283178 yrs)
Last Updated
Nov 18, 2020
Licenses
3586 (KY)
8194 (WI)

Practice Information

Address
325 BUTTS AVE
TOMAH, WI, 546601412
Browse WI providers · Browse ZIP 54660
Phone
6083725951
Fax
6083723436
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in TOMAH, WI

Name Credential NPI
SHARON K MONTALBANO MSW 1447254925
DONNALEE A HOELZEN MSW 1770588295
MR. JEFFREY ROBERT DARNELL LCSW 1922063965
MR. GARRETT BRIAN HEBEL MSW 1225061740
MS. SUE ANN KURUZOVICH MSSW 1073548178
MR. ROBERT A KARPINSKY MSSW 1558386946
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.