Organization · Type 2 NPI

Kelli Clark Licensed Clinical Social Worker Professional Corporation

Clinical Social Worker · San Francisco, CA

NPI number 1376263319 Active

Practice location

3150 18th St Ste 350
San Francisco, CA 94110-2077

Fax (415) 952-9565

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Community/Behavioral Health Agency 251S00000XNone 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 1376263319

Kelli Clark Licensed Clinical Social Worker Professional Corporation's National Provider Identifier is 1376263319, issued on Aug 30, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Francisco, CA. The record was last updated on Aug 30, 2022.