Individual provider · Type 1 NPI

Anna L. Clark

Clinical Social Worker · Southlake, TX

NPI number 1053299578 Active

Practice location

2535 E Southlake Blvd Ste 220
Southlake, TX 76092-6629

Mailing address

4712 Kindred St
Haltom City, TX 76117-4105

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X64366 (TX)

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 1053299578

Anna L. Clark's National Provider Identifier is 1053299578, issued on Aug 22, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southlake, TX. The record was last updated on Aug 22, 2025.