Individual provider · Type 1 NPI
Nicole Renae Clark, LICSW
Clinical Social Worker · Birmingham, AL
Practice location
48 Medical Park Dr E
Birmingham, AL 35235-3400
Mailing address
600 27th Ave NW
Center Point, AL 35215-2216
Other practice locations
- 600 27th Ave NW, Center Point, AL 35215-2216 · (205) 482-2739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 3619C (AL) |
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 1841927415
Nicole Renae Clark, LICSW's National Provider Identifier is 1841927415, issued on Aug 4, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Birmingham, AL. The record was last updated on Aug 4, 2022.