Individual provider · Type 1 NPI

Jennifer A. Clark, LCSW

Clinical Social Worker · Petaluma, CA

NPI number 1770893786 Active

Practice location

1301 Southpoint Blvd
Petaluma, CA 94954-6867

Call (707) 559-7500 Map

Fax (707) 559-7540

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW19290 (CA)

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 1770893786

Jennifer A. Clark, LCSW's National Provider Identifier is 1770893786, issued on Oct 13, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Petaluma, CA. The record was last updated on Dec 30, 2021.