Individual provider · Type 1 NPI

Teresa Coral-Clark, LICSW

Clinical Social Worker · San Antonio, TX

NPI number 1376094326 Active

Practice location

137 Lotus Ave
San Antonio, TX 78210-1621

Mailing address

6 Liberty Square, Pmb 94217
Boston, MA 02109-1621

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X37960 (TX)
Clinical Social Worker Primary 1041C0700X119305 (MA)

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 1376094326

Teresa Coral-Clark, LICSW's National Provider Identifier is 1376094326, issued on Oct 14, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Antonio, TX. The record was last updated on Jul 12, 2023.