Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BONNIE CLARK, LCSW-R
ActiveBONNIE CLARK, LCSW-R is a Clinical Social Worker healthcare provider located in CORNING, New York. NPI 1770700130 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · CORNING, NY
Registration Details
- NPI Number
- 1770700130
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2007 (19.131819301249 yrs)
- Last Updated
- Dec 31, 2009
- Licenses
-
RO68813 (NY)CW012420 (PA)
Practice Information
- Address
-
280 PRINCETON AVENUE EXTCORNING, NY, 148301524Browse NY providers · Browse ZIP 14830
- Phone
- 6079623148
- Fax
- 6079628842
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in CORNING, NY
| Name | Credential | NPI |
|---|---|---|
| RUTH NANETTE GOODWIN | MSW | 1851503536 |
| MARIAN RIKA REZELMAN | MSW | 1275745051 |
| JOANN MORSE-CLOUGH | CSW-R LCSW | 1942413810 |
| MR. MICHAEL SHAWN ROSNO | LCSW-R | 1407063894 |
| CHRISTINE A ANTENORE | SOCIAL WORKER | 1326238122 |
| JANICE KIRSTEN VITALE | LCSW | 1417133935 |
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.