Individual provider · Type 1 NPI

Kelly Anne Clark

Clinical Social Worker · Vestal, NY

NPI number 1073083788 Active

Practice location

1715 Castle Gardens Rd
Vestal, NY 13850-1175

Call (607) 341-7017 Map

Mailing address

93 Park Ave
Binghamton, NY 13903-3226

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X075351 (NY)

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 1073083788

Kelly Anne Clark's National Provider Identifier is 1073083788, issued on Nov 26, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vestal, NY. The record was last updated on Nov 26, 2018.