Individual provider · Type 1 NPI

Susan Gaieen Clark, LCSW

Clinical Social Worker · Mcminnville, OR

NPI number 1275834673 Active

Practice location

627 N Evans St
Mcminnville, OR 97128-3923

Mailing address

1232 NE 27th St
Mcminnville, OR 97128-2331

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X904006311 (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 1275834673

Susan Gaieen Clark, LCSW's National Provider Identifier is 1275834673, issued on Nov 16, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mcminnville, OR. The record was last updated on Nov 16, 2010.