Judy Clarke
Social Worker, Clinical in Avenel, NJ. Individual provider (NPI-1).
NPI number1972199024
StatusActive
Last updated in NPPESDec 14, 2020
Details
- NPI
- 1972199024
- Entity type
- Individual (NPI-1)
- Name
- Judy Clarke
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 14, 2020
- Certification date
- Dec 14, 2020
- Last updated
- Dec 14, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 090542 | NY | Yes |
Practice location
104 Peach StAvenel, NJ 07001-1002
Phone 516-647-8758
Mailing address
104 Peach StAvenel, NJ 07001-1002
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.
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