Individual provider · Type 1 NPI

James Douglas Clark, LCSW

Clinical Social Worker · Jacksonville, FL

NPI number 1902813850 Active

Practice location

4203 Southpoint Blvd
Jacksonville, FL 32216-6164

Call (904) 296-1055 Map

Fax (904) 296-1953

Mailing address

4615 Marsh Hawk Pl
Ponte Vedra Beach, FL 32082-3027

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW3994 (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 1902813850

James Douglas Clark, LCSW's National Provider Identifier is 1902813850, issued on Aug 2, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 8, 2007.