Individual provider · Type 1 NPI

Rebecca Ann Clark, PhD, LCSW

Clinical Social Worker · Fort Moore, GA

NPI number 1699026773 Active

Practice location

6600 Van Aalst Blvd Bldg 9250
Fort Moore, GA 31905-2102

Call (270) 535-2545 Map

Other practice locations

  • 9038 Sonoma Pointe Dr, Columbus, GA 31909-6023 · (270) 535-2545

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X1151-3714C (AL)
Clinical Social Worker Primary 1041C0700XCSW007735 (GA)

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 1699026773

Rebecca Ann Clark, PhD, LCSW's National Provider Identifier is 1699026773, issued on Sep 28, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Moore, GA. The record was last updated on Feb 29, 2024.