Individual provider · Type 1 NPI

Mariella E. Clark, LCSW

Clinical Social Worker · Lakeside, TX

NPI number 1245798156 Active

Practice location

121 Oakwood Ct
Lakeside, TX 76135-4932

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X57729 (TX)

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 1245798156

Mariella E. Clark, LCSW's National Provider Identifier is 1245798156, issued on Mar 10, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lakeside, TX. The record was last updated on Dec 15, 2019.