Individual provider · Type 1 NPI

Stacy Clark

Clinical Social Worker · St. George, UT

NPI number 1578211348 Active

Practice location

230 N 1680 E Ste T2
St. George, UT 84790-2573

Fax (435) 986-8700

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	13853257-3501 (UT)

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 1578211348

Stacy Clark's National Provider Identifier is 1578211348, issued on Mar 11, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. George, UT. The record was last updated on Apr 14, 2026.