Individual provider · Type 1 NPI

Kelli Marie Clark

Clinical Social Worker · Massena, NY

NPI number 1104196815 Active

Practice location

23 Maple St
Massena, NY 13662-1017

Call (315) 769-8441 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR054044-1 (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 1104196815

Kelli Marie Clark's National Provider Identifier is 1104196815, issued on Jan 11, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Massena, NY. The record was last updated on Apr 24, 2018.