Andrea Clark
Andrea Clark is a Clinical Social Worker in Fort Wayne, Indiana. Qualified in 2020, 6 years ago. Registered with an NPI since 2023.
- Years since qualifying
- 6
- In the registry since
- 2023
Practice location Address checks out
1530 Vance AveFort Wayne, IN 46805-2246
Phone: (260) 200-3988
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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 |
|---|
Record details
| NPI number | 1508649070 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 17, 2023 |
| Last updated in NPPES | September 3, 2025 |
| Certification date | September 3, 2025 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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