MEDICARE: STEPHEN JOSEPH CLARK MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LW00006223	WA

General Provider Information

NPI Number	:	1073500815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN JOSEPH CLARK MSW

Provider Business Mailing Address
First Line	:	17414 BOTHELL WAY SE
Second Line	:
City	:	MILL CREEK
State	:	WA
Zip	:	98012-6334
Country	:	US
Telephone Number	:	425-775-5955
Fax Number	:	425-481-8367

Provider Business Practice Location Address
First Line	:	17414 BOTHELL WAY SE
Second Line	:
City	:	MILL CREEK
State	:	WA
Zip	:	98012-6334
Country	:	US
Telephone Number	:	425-775-5955
Fax Number	:	425-481-8367

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1437648318 — LAKEISHA YVETTE SWAIN
Practice Location Address:

6334 PETERS CREEK RD
ROANOKE, VA
24019-4024

Practice Phone: 540-348-4700
Practice Fax:

1821874611 — BOBBIE BENNETT
Practice Location Address:

6334 PETERS CREEK RD
ROANOKE, VA
24019-4024

Practice Phone: 540-348-4700
Practice Fax:

1396521993 — KEYOSHIA C LIVERMAN
Practice Location Address:

6334 PETERS CREEK RD
ROANOKE, VA
24019-4024

Practice Phone: 540-348-4700
Practice Fax:

1598546228 — JESSICA FARROW SPICELAND RN
Practice Location Address:

213 N MOSSY CREEK CIR NW
MADISON, AL
35757-6334

Practice Phone: 901-489-4269
Practice Fax:

1649084005 — TIFFANY SMITH
Practice Location Address:

6334 PETERS CREEK RD
ROANOKE, VA
24019-4024

Practice Phone: 540-348-4700
Practice Fax:

1174400535 — JASON WANG
Practice Location Address:

15418 MAIN ST # 200
MILL CREEK, WA
98012-9030

Practice Phone: 425-225-8000
Practice Fax:

Directions to “ STEPHEN JOSEPH CLARK MSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.