Individual provider · Type 1 NPI

Vickie J. Clark, MSW PLCSW

Clinical Social Worker · St. Joseph, MO

NPI number 1376502369 Active

Practice location

2303 Village Dr
St. Joseph, MO 64506-4954

Fax (816) 901-1053

Mailing address

PO Box 8612
St. Joseph, MO 64508-8612

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP005563 (MO)

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 1376502369

Vickie J. Clark, MSW PLCSW's National Provider Identifier is 1376502369, issued on Mar 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Joseph, MO. The record was last updated on Jul 8, 2007.