Individual provider · Type 1 NPI

Brianna Lyn Clark, LCSW

Student in an Organized Health Care Education/Training Program · Rensselaer, NY

NPI number 1124527387 Active

Practice location

620 Washington Ave
Rensselaer, NY 12144-1300

Call (518) 272-7073 Map

Mailing address

200 Trillium Ln Ste 6
Albany, NY 12203-3818

Other practice locations

  • 200 Trillium Ln Ste 6, Albany, NY 12203-3818 · (860) 884-1036

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X092224 (NY)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

11 other providers at this address

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About NPI 1124527387

Brianna Lyn Clark, LCSW's National Provider Identifier is 1124527387, issued on Feb 2, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rensselaer, NY. The record was last updated on Oct 4, 2022.