Provider Demographics
NPI:1770192940
Name:ALBERT, CLAIRE MARIE (LMSW)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:MARIE
Last Name:ALBERT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 WESTLAWN DR
Mailing Address - Street 2:
Mailing Address - City:DODGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67801-3132
Mailing Address - Country:US
Mailing Address - Phone:620-561-1339
Mailing Address - Fax:
Practice Address - Street 1:906 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801-4905
Practice Address - Country:US
Practice Address - Phone:620-227-1562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty