Individual provider · Type 1 NPI

Jennifer Clark, LICSW

Clinical Social Worker · Malden, MA

NPI number 1053444331 Active

Practice location

6 Pleasant St, 6th Floor
Malden, MA 02148-5100

Mailing address

184 Cross St
Winchester, MA 01890-1118

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X113339 (MA)

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 1053444331

Jennifer Clark, LICSW's National Provider Identifier is 1053444331, issued on Mar 14, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Malden, MA. The record was last updated on Jul 8, 2007.