Individual provider · Type 1 NPI
Melissa Clark, 6002172
Clinical Social Worker · Columbus, IN
Practice location
6141 Basswood Dr
Columbus, IN 47201-8431
Mailing address
719 5th St
Columbus, IN 47201-6306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | C003571 (NC) |
| Clinical Social Worker Primary | 1041C0700X | 34005724A (IN) |
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 1801967195
Melissa Clark, 6002172's National Provider Identifier is 1801967195, issued on Nov 10, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, IN. The record was last updated on Mar 30, 2016.