Individual provider · Type 1 NPI

Charles Whitman Clark, MSSS

Clinical Social Worker · Brookline, MA

NPI number 1265571384 Active

Practice location

45 Bartlett Crescent
Brookline, MA 02446

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X100307 (MA)
Clinical Social Worker 1041C0700X15W00180 (RI)

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 1265571384

Charles Whitman Clark, MSSS's National Provider Identifier is 1265571384, issued on Feb 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brookline, MA. The record was last updated on Jul 8, 2007.