Individual provider · Type 1 NPI

Sandra Ann Clark, MSW

Clinical Social Worker · Kittery, ME

NPI number 1104862341 Active

Practice location

25 Old Ferry Ln
Kittery, ME 03904-1305

Fax (207) 439-6001

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC3768 (ME)
Clinical Social Worker 1041C0700XLICSW298 (NH)
Clinical Social Worker 1041C0700XLICSW1017961 (MA)

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 1104862341

Sandra Ann Clark, MSW's National Provider Identifier is 1104862341, issued on Jun 22, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kittery, ME. The record was last updated on Jul 8, 2007.