Individual provider · Type 1 NPI

Robin Clark, LCSW

Clinical Social Worker · Jackson, MS

NPI number 1720094048 Active

Practice location

3304 N State St Ste 201A-B
Jackson, MS 39216-3129

Mailing address

1239 Old Court Xing
Flowood, MS 39232-1215

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC7302 (MS)
Clinical Social Worker 1041C0700X114015 (TX)

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 1720094048

Robin Clark, LCSW's National Provider Identifier is 1720094048, issued on Jul 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MS. The record was last updated on Oct 24, 2026.