Most Relevant Information
Provider Data
| NPI Number: | 1003506049 |
| Provider Name: | JASON THOMAS CLOKES LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 119685 |
Most Important Dates
| Enumeration Date: | 05/12/2023 |
| Last Updated: | 05/12/2023 |
Provider Practice Location
2805 POND PL APT 3A
BRONX
NY
104583636
Practice Location Phone/Fax
| Phone: | 7188132115 |
| Fax: |
Provider Mailing Location
2805 POND PL APT 3A
BRONX
NY
104583636
Provider Mailing Phone/Fax
| Phone: | 7188132115 |
| Fax: |