Organization · Type 2 NPI
Andrea Clark LCSW LLC
Clinical Social Worker · Fort Wayne, IN
Practice location
1530 Vance Ave
Fort Wayne, IN 46805-2246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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 1700660412
Andrea Clark LCSW LLC's National Provider Identifier is 1700660412, issued on Aug 23, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 3, 2025.