Individual provider · Type 1 NPI
Anitra M. Clark, LCSW
Clinical Social Worker · San Leandro, CA
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
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 26654 (CA) |
| Clinical Social Worker Primary | 1041C0700X | LCS26654 (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.