Vanessa Clark, LCSW
Social Worker, Clinical in Gallatin Gateway, MT. Individual provider (NPI-1).
NPI number1336656271
StatusActive
Last updated in NPPESJan 1, 2018
Details
- NPI
- 1336656271
- Entity type
- Individual (NPI-1)
- Name
- Vanessa Clark
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 1, 2018
- Last updated
- Jan 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 24163 | MT | Yes |
Practice location
76605 Gallatin RdGallatin Gateway, MT 59730-8711
Phone 406-498-3235
Mailing address
Po Box 102Gallatin Gateway, MT 59730-0102
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.