Individual provider · Type 1 NPI

Kimberly Ann Clark, MSW, LCSW

Clinical Social Worker · Salt Lake City, UT

NPI number 1114968682 Active

Practice location

500 Foothill Dr, Mail Code 182H
Salt Lake City, UT 84148-0001

Call (801) 582-1565 Map

Fax (801) 584-5609

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2686503501 (UT)

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 1114968682

Kimberly Ann Clark, MSW, LCSW's National Provider Identifier is 1114968682, issued on Jun 8, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 13, 2026.