Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CLARK E WOOLDRIDGE JR., LISW ACP
ActiveMR. CLARK E WOOLDRIDGE JR., LISW ACP is a Clinical Social Worker healthcare provider located in CLOVIS, New Mexico. NPI 1649380502 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · CLOVIS, NM
Registration Details
- NPI Number
- 1649380502
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.925043397647 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
I2267 (NM)05339 (TX)
Practice Information
- Address
-
1220 MITCHELLCLOVIS, NM, 88101Browse NM providers · Browse ZIP 88101
- Phone
- 8066816745
- Fax
- 5057423182
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in CLOVIS, NM
| Name | Credential | NPI |
|---|---|---|
| DARREN G NICKERSON | LCSW | 1659365039 |
| STEFFINITA LOTOYA SMART | LCSW-S | 1730271016 |
| MR. RICHARD DANE HOLT | LMSW | 1417031337 |
| MR. ERIC M. BANAGAY | LISW, LADAC | 1780883264 |
| FRANCESCA M GILLESPIE | LCSW | 1245424027 |
| ANACARMEN GUAMBANA | — | 1013154848 |
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.