Individual provider · Type 1 NPI

Paul Edward Clark, LCSW

Clinical Social Worker · Hampton, VA

NPI number 1124594742 Active

Practice location

100 Emancipation Dr
Hampton, VA 23667-0001

Call (757) 722-9961 Map

Mailing address

132 Lighthouse Dr
Portsmouth, VA 23703-5473

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904010740 (VA)

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 1124594742

Paul Edward Clark, LCSW's National Provider Identifier is 1124594742, issued on Oct 22, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hampton, VA. The record was last updated on Oct 22, 2018.