Individual provider · Type 1 NPI

Michelle Randall Clark, LCSW

Clinical Social Worker · Athens, GA

NPI number 1649903295 Active

Practice location

3320 Old Jefferson Rd Bldg 800
Athens, GA 30607-1400

Fax (706) 353-2992

Other practice locations

  • 119 Harmony Xing Ste 1, Eatonton, GA 31024-9571 · (762) 220-1880
  • 4182 Highway 278 NE, Covington, GA 30014-2494 · (678) 712-6921
  • 355 Clear Creek Pkwy Ste 2007, Lavonia, GA 30553-4271 · (706) 356-2934

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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…

24 other providers at this address

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About NPI 1649903295

Michelle Randall Clark, LCSW's National Provider Identifier is 1649903295, issued on Jul 1, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Athens, GA. The record was last updated on May 27, 2026.