Individual provider · Type 1 NPI

Owen Clark

Clinical Social Worker · Decatur, GA

NPI number 1366291940 Active

Practice location

235 E Ponce De Leon Ave Ste 320
Decatur, GA 30030-3452

Mailing address

210 Appleby Dr Apt 216
Athens, GA 30605-5411

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1366291940

Owen Clark's National Provider Identifier is 1366291940, issued on May 15, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Decatur, GA. The record was last updated on May 24, 2024.