Individual provider · Type 1 NPI

Johanna Daniela Clark, LCSW

Clinical Social Worker · Collingswood, NJ

NPI number 1508962408 Active

Practice location

1107 Stokes Ave
Collingswood, NJ 08108-3307

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X093547 (NY)
Clinical Social Worker 1041C0700XCW015431 (PA)

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 1508962408

Johanna Daniela Clark, LCSW's National Provider Identifier is 1508962408, issued on Sep 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Collingswood, NJ. The record was last updated on Oct 1, 2025.