Individual provider · Type 1 NPI

Kim Clark, L.I.C.S.W.

Clinical Social Worker · South Royalton, VT

NPI number 1508074311 Active

Practice location

226 Leonard Rd
South Royalton, VT 05068-9565

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X101057 (MA)
Clinical Social Worker Primary 1041C0700X0890000559 (VT)

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 1508074311

Kim Clark, L.I.C.S.W.'s National Provider Identifier is 1508074311, issued on May 18, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Royalton, VT. The record was last updated on Jul 9, 2007.