Individual provider · Type 1 NPI

Detra Shondrealle Toney Clark, LCSW

Clinical Social Worker · Conway, AR

NPI number 1689700254 Active

Practice location

350 Salem Road, Suite 1
Conway, AR 72034

Call (479) 967-5570 Map

Fax (479) 890-5364

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…

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About NPI 1689700254

Detra Shondrealle Toney Clark, LCSW's National Provider Identifier is 1689700254, issued on Feb 26, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Conway, AR. The record was last updated on Jul 11, 2013.