Individual provider · Type 1 NPI

Anitra M. Clark, LCSW

Clinical Social Worker · San Leandro, CA

NPI number 1649280595 Active

Practice location

345 Estudillo Ave Ste 207
San Leandro, CA 94577-4727

Fax (614) 455-1945

Mailing address

375 Estudillo Ave, Ste 207
San Leandro, CA 94577

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X26654 (CA)
Clinical Social Worker Primary 1041C0700XLCS26654 (CA)

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 1649280595

Anitra M. Clark, LCSW's National Provider Identifier is 1649280595, issued on Aug 9, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Leandro, CA. The record was last updated on Jun 4, 2026.