Individual provider · Type 1 NPI
Paul G. Clark, LCSW
Clinical Social Worker · Black Mountain, NC
Practice location
1 Gold Leaf Walk Way
Black Mountain, NC 28711-2804
Mailing address
4400 University Dr
Fairfax, VA 22030-4422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | SW0002836 (FL) |
| Clinical Social Worker Primary | 1041C0700X | 0904-001362 (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 1174893945
Paul G. Clark, LCSW's National Provider Identifier is 1174893945, issued on Jan 10, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Black Mountain, NC. The record was last updated on May 18, 2023.