Individual provider · Type 1 NPI

Kathryn Alison Clark, LCSW

Clinical Social Worker · Portland, ME

NPI number 1164168902 Active

Practice location

535 Ocean Ave Ste 4
Portland, ME 04103-4970

Call (207) 370-5389 Map

Mailing address

314 Alfred St
Biddeford, ME 04005-3102

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCAC7797 (ME)
Clinical Social Worker Primary 1041C0700XMC20209 (ME)

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 1164168902

Kathryn Alison Clark, LCSW's National Provider Identifier is 1164168902, issued on May 5, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, ME. The record was last updated on Jan 8, 2025.