Individual provider · Type 1 NPI

Tina Denice Clark, LCSW

Clinical Social Worker · Jonesboro, AR

NPI number 1063857076 Active

Practice location

2712 E Johnson Ave
Jonesboro, AR 72405-1874

Fax (870) 932-1189

Other practice locations

  • 837 Willett Road, Jonesboro, AR 72401 · (870) 393-5335
  • 615 E Matthews Ave, Jonesboro, AR 72401-3145 · (870) 930-9090

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X7038-C (AR)
Social Worker 104100000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

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 1063857076

Tina Denice Clark, LCSW's National Provider Identifier is 1063857076, issued on May 3, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jonesboro, AR. The record was last updated on Sep 2, 2026.