Todd Anthony Lark, Sr. Sr., CSW
Counselor, School in Murfreesboro, TN. Individual provider (NPI-1).
NPI number1124598511
StatusActive
Last updated in NPPESNov 28, 2018
Details
- NPI
- 1124598511
- Entity type
- Individual (NPI-1)
- Name
- Mr. Todd Anthony Lark, Sr. Sr.
- Credential
- CSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 28, 2018
- Last updated
- Nov 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YS0200X | Counselor, School | 000189998 | TN | Yes |
| 101Y00000X | Counselor | 000189998 | TN | |
| 101YM0800X | Counselor, Mental Health | 000189998 | TN | |
| 104100000X | Social Worker | 000189998 | TN | |
| 1041C0700X | Social Worker, Clinical | 000189998 | TN | |
| 1041S0200X | Social Worker, School | 000189998 | TN | |
| 171M00000X | Case Manager/Care Coordinator | 000189998 | TN |
Practice location
935 Contessa DrMurfreesboro, TN 37128-4276
Phone 615-573-9089
Mailing address
935 Contessa DrMurfreesboro, TN 37128-4276
Phone 615-573-9089
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