Individual provider · Type 1 NPI

Cristian Clark

Clinical Social Worker · Universal City, TX

NPI number 1093370306 Active

Practice location

508 Pat Booker Rd # 5216
Universal City, TX 78148-4434

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X62045 (TX)

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 1093370306

Cristian Clark's National Provider Identifier is 1093370306, issued on May 2, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Universal City, TX. The record was last updated on Aug 14, 2026.