Individual ProviderYvarra ClarkSocial WorkerBehavioral Health & Social Service ProvidersPractice Address710 Versailles Blvd, Alexandria, LA 71303-2351(318) 449-4474PECOS EnrollmentBased on the most recent information from CMS, provider Yvarra 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 11:13 AM.Profile DetailsProvider ID1073971941Provider TypeIndividualFull NameClark, YvarraCredentialMSWGenderFemaleSole ProprietorNoEnumeration Date2/5/2016Last Updated4/10/2023Contact InformationPractice LocationPractice Address710 Versailles Blvd, Alexandria, LA 71303-2351Phone(318) 449-4474Fax(318) 449-4472Mailing LocationMailing Address710 Versailles Blvd, Alexandria, LA 71303-2351Phone(318) 449-4474Fax(318) 449-4472Provider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense5049LouisianaCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicense5049Louisiana