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Contact Information

MARTHA E CLARK, MSW, LCSW
6763 PAGE AVE
SAINT LOUIS, MO63133-1635
 Phone: 314-379-8217
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MARTHA E CLARK · (Female)

NPI # 1992322564
Status Active
Credentials MSW, LCSW
Entity Individual
Enumeration date 06/30/2020
Last updated 04/25/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2022045982
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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