Individual provider · Type 1 NPI

Jack Malcolm Clark Iii, LCSW

Clinical Social Worker · San Antonio, TX

NPI number 1841311487 Active

Practice location

7711 Madonna
San Antonio, TX 78216-6620

Call (210) 377-1133 Map

Fax (210) 377-1230

Mailing address

Brooke Army Medical Center
Fort Sam Houston, TX 78234-4504

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	36151 (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 1841311487

Jack Malcolm Clark Iii, LCSW's National Provider Identifier is 1841311487, issued on Apr 2, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Antonio, TX. The record was last updated on May 24, 2021.