Individual provider · Type 1 NPI

Tracey Lyn Clark, LMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1912402017 Active

Practice location

300 68th St SE
Grand Rapids, MI 49548-6927

Call (616) 455-5000 Map

Fax (616) 455-5960

Other practice locations

  • 500 Barfield Dr, Hastings, MI 49058-9018 · (269) 948-8041

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X6801101970 (MI)
Clinical Social Worker Primary 1041C0700X6801119078 (MI)

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 1912402017

Tracey Lyn Clark, LMSW's National Provider Identifier is 1912402017, issued on Mar 29, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 11, 2024.