Individual provider · Type 1 NPI

Ezell Clark, LCSW

Clinical Social Worker · North Richland Hills, TX

NPI number 1649002932 Active

Practice location

4925 Davis Blvd Ste NO220
North Richland Hills, TX 76180-6875

Mailing address

7936 Arlie Ln
North Richland Hills, TX 76182-8719

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X63456 (TX)

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 1649002932

Ezell Clark, LCSW's National Provider Identifier is 1649002932, issued on Aug 15, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in North Richland Hills, TX. The record was last updated on Aug 15, 2024.