Individual provider · Type 1 NPI

Kevin Lewis Clark, MSW

Clinical Social Worker · Palo Alto, CA

NPI number 1881603876 Active

Practice location

3801 Miranda Ave
Palo Alto, CA 94304

Mailing address

433 Caledonia St
Santa Cruz, CA 95062-3311

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1881603876

Kevin Lewis Clark, MSW's National Provider Identifier is 1881603876, issued on Aug 7, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Palo Alto, CA. The record was last updated on Jul 8, 2007.