Individual
BONNIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
280 PRINCETON AVENUE EXT, CORNING, NY 14830-1524
(607) 962-3148
(607) 962-8842
Mailing address
280 PRINCETON AVENUE EXT, CORNING, NY 14830-1524
(607) 962-3148
(607) 962-8842
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CW012420
PA
1041C0700X
Clinical Social Worker
Primary
RO68813
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160743189
EXCELLUS BLUE CROSS BLUE SHIELD
NY
Enumeration date
04/19/2007
Last updated
12/31/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us