Individual provider · Type 1 NPI
Gregory Scott Clark, LCSW
Clinical Social Worker · Bloomington, IN
Practice location
645 S Rogers St
Bloomington, IN 47403-2353
Fax (812) 337-2259
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 34000010A (IN) |
| Mental Health Counselor | 101YM0800X | 34000010A (IN) |
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 1568447100
Gregory Scott Clark, LCSW's National Provider Identifier is 1568447100, issued on Dec 7, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, IN. The record was last updated on Apr 29, 2009.