Individual provider · Type 1 NPI

Kellee Clark

Clinical Social Worker · Colorado Springs, CO

NPI number 1962094615 Active

Practice location

2222 N Nevada Ave
Colorado Springs, CO 80907-6819

Call (719) 555-5555 Map

Mailing address

1942 Broadway Ste 314C
Boulder, CO 80302-5233

Other practice locations

  • 1942 Broadway Ste 314C, Boulder, CO 80302-5233 · (804) 616-7328

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Clinical Social Worker 1041C0700XNone listed
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 1962094615

Kellee Clark's National Provider Identifier is 1962094615, issued on Feb 4, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Colorado Springs, CO. The record was last updated on Jan 6, 2025.