Individual provider · Type 1 NPI
Andrea Clark, LCSW
Mental Health Counselor · New York, NY
NPI number
1477593580
Active
Practice location
120 W 57th St, 8th Floor
New York, NY 10019-3320
Fax (212) 632-4495
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 069627-1 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1477593580
Andrea Clark, LCSW's National Provider Identifier is 1477593580, issued on Jun 7, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Jul 13, 2026.