Individual provider · Type 1 NPI

Angelica Clark

Clinical Social Worker · Wichita, KS

NPI number 1487329173 Active

Practice location

4155 E Harry St
Wichita, KS 67218-3725

Mailing address

110 W Otis Ave
Salina, KS 67401-8713

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X07101 (KS)

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 1487329173

Angelica Clark's National Provider Identifier is 1487329173, issued on Aug 13, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wichita, KS. The record was last updated on Aug 5, 2026.