Individual provider · Type 1 NPI

Kevin P. Clark Sr., LCSW-R

Clinical Social Worker · Goshen, NY

NPI number 1497376958 Active

Practice location

30 Harriman Dr
Goshen, NY 10924-2410

Call (845) 291-2142 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR-049202-1 (NY)

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 1497376958

Kevin P. Clark Sr., LCSW-R's National Provider Identifier is 1497376958, issued on May 6, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Goshen, NY. The record was last updated on May 6, 2020.