Individual provider · Type 1 NPI

Stephen Arthur Declark, LCSW

Clinical Social Worker · Racine, WI

NPI number 1609051085 Active

Practice location

700 Villa St
Racine, WI 53403-1144

Fax (262) 619-3263

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6701-123 (WI)

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 1609051085

Stephen Arthur Declark, LCSW's National Provider Identifier is 1609051085, issued on Jan 4, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Racine, WI. The record was last updated on Jan 4, 2008.