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

Emily J. Clark, LCSWLCDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1114431624

Emily J. Clark, LCSWLCDC is an Addiction (Substance Use Disorder) Counselor in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2017.

Licensed in
TX
In the registry since
2017
Specialties on file
2

Practice location Address checks out

855 Montgomery St
Fort Worth, TX 76107-2553
Phone: (817) 735-0510
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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 59823 (TX)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 12979 (TX)

Record details

NPI number1114431624
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWLCDC
Sole proprietorNo
NPI enumeratedNovember 20, 2017
Last updated in NPPESJanuary 18, 2019

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