Provider Demographics
NPI:1982020558
Name:CLARKE, NAKESHA (LMSW)
Entity Type:Individual
Prefix:
First Name:NAKESHA
Middle Name:
Last Name:CLARKE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:NAKESHA
Other - Middle Name:
Other - Last Name:NASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9025 161ST ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-6142
Mailing Address - Country:US
Mailing Address - Phone:718-262-1225
Mailing Address - Fax:718-262-1228
Practice Address - Street 1:9025 161ST ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-6142
Practice Address - Country:US
Practice Address - Phone:718-262-1225
Practice Address - Fax:718-262-1228
Is Sole Proprietor?:No
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY089873104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker