Individual provider · Type 1 NPI

Kristin Anne Clark

Clinical Social Worker · Gilroy, CA

NPI number 1851468052 Active

Practice location

290 Ioof Ave.
Gilroy, CA 95020

Call (831) 466-6385 Map

Mailing address

4577 Prescott Rd
Soquel, CA 95073-9737

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X73118 (CA)
Social Worker 104100000X29221 (CA)
Clinical Social Worker Primary 1041C0700X77878 (CA)

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 1851468052

Kristin Anne Clark's National Provider Identifier is 1851468052, issued on Nov 30, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gilroy, CA. The record was last updated on Aug 7, 2017.