MEDICARE: MR. CLARK VINSON LCSW

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	00842	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	R69233	OTHER	TX	SEVERAL MNGED CARE CO.'S

General Provider Information

NPI Number	:	1639187735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CLARK VINSON LCSW

Provider Business Mailing Address
First Line	:	972 MEADOW OAKS DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-1928
Country	:	US
Telephone Number	:	817-313-0742
Fax Number	:

Provider Business Practice Location Address
First Line	:	1007 W MITCHELL ST
Second Line	:	SUITE 102
City	:	ARLINGTON
State	:	TX
Zip	:	76013-2508
Country	:	US
Telephone Number	:	817-461-6183
Fax Number	:	817-265-7433

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

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1740278894 — MS. MARCIA B. DUBOIS LCSW
Practice Location Address:

1007 W MITCHELL ST , SUITE 102
ARLINGTON, TX
76013-2508

Practice Phone: 817-461-6183
Practice Fax: 817-265-7433

1487789418 — MARCIA B. DUBOIS, LMSW-ACP, INC.
Practice Location Address:

1007 W MITCHELL ST
ARLINGTON, TX
76013-2508

Practice Phone: 817-461-6183
Practice Fax: 817-265-7433

1639295017 — DR. THIENTUAN DUONG VO D.C.
Practice Location Address:

1007 W MITCHELL ST , SUITE 102
ARLINGTON, TX
76013-2508

Practice Phone: 817-460-9100
Practice Fax: 817-460-9200

1669056628 — DR. NICHOLAUS PETTERSON D.C.
Practice Location Address:

1007 W MITCHELL ST
ARLINGTON, TX
76013-2508

Practice Phone: 817-460-9000
Practice Fax:

1881572071 — DR. ELISABETH DE SOUZA NOLET DC
Practice Location Address:

1007 W MITCHELL ST STE 102
ARLINGTON, TX
76013-2508

Practice Phone: 817-460-9000
Practice Fax:

1992850739 — MICHELLE DOONKEEN LCSW
Practice Location Address:

2508 LITTLE RD STE 200
ARLINGTON, TX
76016-1301

Practice Phone: 817-584-1705
Practice Fax:

Directions to “ MR. CLARK VINSON LCSW” 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 © 2007-2026 (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.