Individual provider · Type 1 NPI

Jessica Clark, LCSW

Clinical Social Worker · Staten Island, NY

NPI number 1316542152 Active

Practice location

3710 Richmond Ave
Staten Island, NY 10312-3848

Call (718) 967-0490 Map

Mailing address

36 Beacon Ave
Staten Island, NY 10306-1351

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X101713 (NY)
Clinical Social Worker Primary 1041C0700X094488 (NY)

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 1316542152

Jessica Clark, LCSW's National Provider Identifier is 1316542152, issued on Dec 1, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Staten Island, NY. The record was last updated on Jan 2, 2023.