Individual provider · Type 1 NPI

Ben Lee Clark Sr., DCSW-LCSW

Clinical Social Worker · Tamc, HI

NPI number 1780656322 Active

Practice location

1 Jarrett White Rd
Tamc, HI 96859-5001

Fax (808) 433-1557

Mailing address

95-1031 Kanae St
Mililani, HI 96789-4205

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3192 (HI)

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 1780656322

Ben Lee Clark Sr., DCSW-LCSW's National Provider Identifier is 1780656322, issued on Feb 7, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tamc, HI. The record was last updated on Jul 13, 2026.