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

Individual provider Clinical Social Worker · NPI 1770700130

Bonnie Clark, LCSW-R is a Clinical Social Worker in Corning, New York. Licensed in New York and Pennsylvania. Registered with an NPI since 2007.

Licensed in
NY, PA
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

280 Princeton Avenue Ext
Corning, NY 14830-1524
Phone: (607) 962-3148
Fax: (607) 962-8842
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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 RO68813 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence CW012420 (PA)

Record details

NPI number1770700130
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedApril 19, 2007
Last updated in NPPESDecember 31, 2009

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