Individual provider · Type 1 NPI

Elaine Rutherford Clark, LCSW

Clinical Social Worker · Bradenton, FL

NPI number 1821142480 Active

Practice location

501 Village Green Pkwy Ste 4
Bradenton, FL 34209-3401

Call (941) 795-7025 Map

Fax (941) 795-1480

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW0003279 (FL)

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 1821142480

Elaine Rutherford Clark, LCSW's National Provider Identifier is 1821142480, issued on Jan 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bradenton, FL. The record was last updated on Jul 8, 2007.