Individual provider · Type 1 NPI

Kristina Clark, LCSW

Clinical Social Worker · Connersville, IN

NPI number 1336086636 Active

Practice location

390 Erie Ave
Connersville, IN 47331-3177

Mailing address

645 S Rogers St
Bloomington, IN 47403-2353

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34012855A (IN)

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 1336086636

Kristina Clark, LCSW's National Provider Identifier is 1336086636, issued on May 4, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Connersville, IN. The record was last updated on May 4, 2026.