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

Ethan Clark, LSW

Individual provider Social Worker · NPI 1306785647

Ethan Clark, LSW is a Social Worker in Blue Ash, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2026
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

See every abbreviation used in this directory →

Practice location Address checks out

10921 Reed Hartman Hwy Ste 133
Blue Ash, OH 45242-2851
Phone: (513) 984-9838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence S.2614057 (OH)

Record details

NPI number1306785647
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorYes
NPI enumeratedMarch 25, 2026
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
Mailing address10921 Reed Hartman Hwy Ste 133, Blue Ash, OH 45242-2851

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