Individual provider · Type 1 NPI

Carissa J. Van Den Berk-Clark, PhD, LCSW

Clinical Social Worker · Litchfield, IL

NPI number 1609625136 Active

Practice location

805 Saint Francis Way
Litchfield, IL 62056-1779

Mailing address

1008 S Spring Ave
St. Louis, MO 63110-2520

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X2022015061 (MO)
Clinical Social Worker Primary 1041C0700X150.103768 (IL)

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 1609625136

Carissa J. Van Den Berk-Clark, PhD, LCSW's National Provider Identifier is 1609625136, issued on May 16, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Litchfield, IL. The record was last updated on May 16, 2024.