Individual provider · Type 1 NPI

Carla Clark

Clinical Social Worker · Columbus, OH

NPI number 1114385606 Active

Practice location

2440 Dawnlight Ave
Columbus, OH 43211-1934

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XICDC.111008-CS (OH)
Clinical Social Worker Primary 1041C0700XI.900145 (OH)

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 1114385606

Carla Clark's National Provider Identifier is 1114385606, issued on Jan 29, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, OH. The record was last updated on Jan 29, 2016.