Individual provider · Type 1 NPI

Gail E. Clark, LCSW

Clinical Social Worker · St. Petersburg, FL

NPI number 1164473245 Active

Practice location

4024 Central Ave
St. Petersburg, FL 33711-1239

Call (727) 327-7656 Map

Mailing address

11644 83rd Ave
Seminole, FL 33772-4010

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW8176 (FL)

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 1164473245

Gail E. Clark, LCSW's National Provider Identifier is 1164473245, issued on May 13, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Petersburg, FL. The record was last updated on Mar 21, 2008.