Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annette M Clark, LICSW

Individual provider Clinical Social Worker · NPI 1366828477

Annette M Clark, LICSW is a Clinical Social Worker in Bryan, Texas. Qualified in 2009, 17 years ago. Practices with Texas Aandm University System Health Science Center, a 41-clinician group and accepts Medicare assignment. Licensed in Minnesota and Texas.

Years since qualifying
17
Licensed in
MN, TX
In the registry since
2015
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

2900 E 29th St
Bryan, TX 77802-2622
Phone: (979) 776-8400
Fax: (877) 601-5854
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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 112234 (TX)
Clinical Social Worker Taxonomy 1041C0700X · Licence 11843 (MN)

Record details

NPI number1366828477
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 31, 2015
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Texas Aandm University System Health Science Center — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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