Individual provider · Type 1 NPI

Ronald Austin Clark, LCSW

Clinical Social Worker · Leesburg, VA

NPI number 1508908427 Active

Practice location

215 Loudoun St SE
Leesburg, VA 20175-3115

Fax (703) 771-7556

Mailing address

17719 Deveau Ct
Purcellville, VA 20132

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904000736 (VA)

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 1508908427

Ronald Austin Clark, LCSW's National Provider Identifier is 1508908427, issued on Feb 14, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Leesburg, VA. The record was last updated on Jul 9, 2007.