Individual provider · Type 1 NPI

Davita Clark

Clinical Social Worker · Waterford, MI

NPI number 1346126919 Active

Practice location

5770 Highland Rd
Waterford, MI 48327-1877

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851121495 (MI)

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 1346126919

Davita Clark's National Provider Identifier is 1346126919, issued on Aug 11, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waterford, MI. The record was last updated on Feb 24, 2026.