Individual provider · Type 1 NPI

Jason Matthew Clark, LICSW

Clinical Social Worker · Toney, AL

NPI number 1104699586 Active

Practice location

9869 Pulaski Pike Ste C
Toney, AL 35773-7201

Fax (256) 970-1643

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X5478C (AL)

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 1104699586

Jason Matthew Clark, LICSW's National Provider Identifier is 1104699586, issued on Nov 6, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Toney, AL. The record was last updated on Nov 9, 2025.