Individual provider · Type 1 NPI

Celeiny Clark

Clinical Social Worker · Tampa, FL

NPI number 1083472005 Active

Practice location

610 E Zack St Ste 110-2322
Tampa, FL 33602-3972

Fax (813) 563-0511

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW22758 (FL)

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 1083472005

Celeiny Clark's National Provider Identifier is 1083472005, issued on Mar 13, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tampa, FL. The record was last updated on Jan 24, 2026.