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

Individual provider Clinical Social Worker · NPI 1700444320

Bianca Jasmin Clark, LCSW is a Clinical Social Worker in Chicago, Illinois. Qualified in 2015, 11 years ago. Practices with Thriveworks Clinical - Illinois, a 45-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2019
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

3062 E 91st St
Chicago, IL 60617-4401
Phone: (773) 371-2900
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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 149.021215 (IL)

Record details

NPI number1700444320
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 29, 2019
Last updated in NPPESMay 29, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Thriveworks Clinical - Illinois — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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