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NPI Code Detail

MEDICARE: ZOE R CLARK MSW

MEDICARE:   ZOE R 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
1104100000XSocial Worker

General Provider Information

NPI Number : 1740125210
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOE R CLARK MSW
Provider Business Mailing Address
First Line : 1700 N 1ST ST APT 166
Second Line :
City : SAN JOSE
State : CA
Zip : 95112-4570
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3100 DE LA CRUZ BLVD STE 310
Second Line :
City : SANTA CLARA
State : CA
Zip : 95054-2452
Country : US
Telephone Number : 408-350-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “ ZOE R CLARK MSW” Practice Location

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