Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDRICK CLARK
Active Sole ProprietorFREDRICK CLARK is a Social Worker healthcare provider located in FAIRBURN, Georgia. NPI 1306490495 is currently active in the NPPES registry. Verify at CMS.
Social Worker · FAIRBURN, GA
Registration Details
- NPI Number
- 1306490495
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2019 (7.0876823283532 yrs)
- Last Updated
- Jul 28, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
205 CRUSADER PLFAIRBURN, GA, 302134339Browse GA providers · Browse ZIP 30213
- Phone
- 6785432209
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in FAIRBURN, GA
| Name | Credential | NPI |
|---|---|---|
| JACARRI MICHELLE WILCOTS | LMSW | 1225692908 |
| SELIMA HOULKER | — | 1942962881 |
| MS. SHANITA SIVELS | LMSW | 1013882695 |
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.