Individual provider · Type 1 NPI

Judith L. Clark, L.I.S.W.

Clinical Social Worker · Chillicothe, OH

NPI number 1003928466 Active

Practice location

17273 State Route 104
Chillicothe, OH 45601-8608

Call (740) 773-1141 Map

Fax (740) 772-7187

Mailing address

17381 Ringgold Northern Rd
Ashville, OH 43103-9718

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI0009853 (OH)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003928466

Judith L. Clark, L.I.S.W.'s National Provider Identifier is 1003928466, issued on Aug 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chillicothe, OH. The record was last updated on Jul 8, 2007.