Individual provider · Type 1 NPI

Annette M. Clark, LICSW

Clinical Social Worker · Bryan, TX

NPI number 1366828477 Active

Practice location

2900 E 29th St
Bryan, TX 77802-2622

Call (979) 776-8400 Map

Fax (877) 601-5854

Mailing address

124 Elton Hills Ln NW
Rochester, MN 55901-3577

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X11843 (MN)
Clinical Social Worker Primary 1041C0700X112234 (TX)

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 1366828477

Annette M. Clark, LICSW's National Provider Identifier is 1366828477, issued on Jul 31, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bryan, TX. The record was last updated on May 6, 2024.