Individual provider · Type 1 NPI

Carrie Clark

School Social Worker · Fairfax, VA

NPI number 1700560828 Active

Practice location

8270 Willow Oaks Corporate Dr
Fairfax, VA 22031-4530

Specialties and licenses

TaxonomyCodeLicense
School Social Worker Primary 1041S0200XPPS-0608561 (VA)

School Social Worker: Definition to come...

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About NPI 1700560828

Carrie Clark's National Provider Identifier is 1700560828, issued on Jun 9, 2023. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Fairfax, VA. The record was last updated on Apr 22, 2026.