Individual provider · Type 1 NPI

Emily J. Clark, LCSW LCDC

Clinical Social Worker · Fort Worth, TX

NPI number 1114431624 Active

Practice location

855 Montgomery St
Fort Worth, TX 76107-2553

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X12979 (TX)
Clinical Social Worker Primary 1041C0700X59823 (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 1114431624

Emily J. Clark, LCSW LCDC's National Provider Identifier is 1114431624, issued on Nov 20, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 18, 2019.