Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Adam G Clark-Tan, LCSW

Individual provider Clinical Social Worker · NPI 1093024937

Adam G Clark-Tan, LCSW is a Clinical Social Worker in Daly City, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

21 Penhurst Ave
Daly City, CA 94015-4423
Phone: (415) 763-7782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 63563 (CA)

Record details

NPI number1093024937
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 27, 2010
Last updated in NPPESOctober 31, 2016

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