National Provider Identifier
Tracy Michelle Clark, MSW
Tracy Michelle Clark, MSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 853-1335.
Profile Overview
- NPI
- 1356856801
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- December 06, 2017
- Last Updated
- December 06, 2017
Practice Location
- 430 Niagara St
- Buffalo, NY 14201-1886
Phone: (716) 853-1335
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1356856801
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Tracy
- Middle Name
- Michelle
- Credential
- MSW
- Mailing Street Address
- 430 Niagara St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14201-1886
- Mailing Country
- US
- Mailing Phone
- (716) 853-1335
- Mailing Fax
- (716) 853-1598
- Practice Street Address
- 430 Niagara St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14201-1886
- Practice Country
- US
- Practice Phone
- (716) 853-1335
- Practice Fax
- (716) 853-1598
- Enumeration Date
- December 06, 2017
- Last Updated
- December 06, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)