Individual provider · Type 1 NPI

Elisa M. Clark, LCSW

Clinical Social Worker · Red Bank, NJ

NPI number 1063147072 Active

Practice location

272 Broad St
Red Bank, NJ 07701-2044

Mailing address

66 Middletown Rd
Holmdel, NJ 07733-2206

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05942500 (NJ)

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 1063147072

Elisa M. Clark, LCSW's National Provider Identifier is 1063147072, issued on Jul 22, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Red Bank, NJ. The record was last updated on Jul 22, 2022.