Individual provider · Type 1 NPI

Benjamin Alex Clark, LCSW

Clinical Social Worker · Phoenix, AZ

NPI number 1962231795 Active

Practice location

4525 N Central Ave
Phoenix, AZ 85012-1889

Call (602) 764-7818 Map

Mailing address

4637 N 9th St
Phoenix, AZ 85014-3813

Specialties and licenses

TaxonomyCodeLicense
School Social Worker 1041S0200XLCSW-22348 (AZ)
Clinical Social Worker Primary 1041C0700XLCSW-22348 (AZ)

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 1962231795

Benjamin Alex Clark, LCSW's National Provider Identifier is 1962231795, issued on Jul 30, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 5, 2025.