Individual ProviderStephanie ClarkSocial WorkerBehavioral Health & Social Service ProvidersPractice Address10185 Isle St, Parker, CO 80134-5788(970) 568-2770PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Clark does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1811516156Provider TypeIndividualFull NameClark, StephanieCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date4/15/2020Last Updated4/15/2020Contact InformationPractice LocationPractice Address10185 Isle St, Parker, CO 80134-5788Phone(970) 568-2770FaxUnlisted FaxMailing LocationMailing Address10185 Isle St, Parker, CO 80134-5788Phone(970) 568-2770FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCSW.09923675Colorado