What is Fredrick Clark's NPI number?

Fredrick Clark's National Provider Identifier (NPI) is 1306490495, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Fredrick Clark's specialty?

Fredrick Clark is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).

Where is Fredrick Clark located?

Fredrick Clark's practice location on file with NPPES is 205 Crusader Pl, Fairburn, GA 30213-4339.

What is Fredrick Clark's phone number?

The practice phone number listed in the NPPES registry for Fredrick Clark is (678) 543-2209.

Is Fredrick Clark's NPI active?

Yes — Fredrick Clark's NPI (1306490495) is active in the NPPES registry as of the last update on 2019-07-28.

IndividualActive

Fredrick Clark

NPI 1306490495 · Social Worker · Fairburn, GA

Fredrick Clark is a Social Worker provider in Fairburn, GA (NPI 1306490495).

Provider details

NPI number: 1306490495
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Social WorkerPrimary104100000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(59/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

205 Crusader Pl

Fairburn, GA 30213-4339

Phone: (678) 543-2209

Street-level locationGet directions

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Mailing address