MRS. JESSICA CLARK, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1316542152
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | No | 101713 (NY) |
| Social Worker - Clinical | 1041C0700X | Yes | 094488 (NY) |
Frequently Asked Questions
NPI 1316542152 is the National Provider Identifier for MRS. JESSICA CLARK, LCSW, a Social Worker - Clinical provider located in Staten Island, NY. This NPI was enumerated on December 1, 2020.
MRS. JESSICA CLARK, LCSW practices at 3710 RICHMOND AVE, Staten Island, NY 10312.
Quick Facts
- NPI
- 1316542152
- Type
- Individual
- Enumerated
- Dec 1, 2020
- Last Updated
- Jan 2, 2023
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