Individual provider · Type 1 NPI
Patrick Jeremiah Clark, MSW
Clinical Social Worker · Waconia, MN
Practice location
540 E First St
Waconia, MN 55387-1601
Fax (952) 442-3084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 16872LICSW (MN) |
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 1235313388
Patrick Jeremiah Clark, MSW's National Provider Identifier is 1235313388, issued on Dec 26, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waconia, MN. The record was last updated on Dec 26, 2007.