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

Ezell Clark, LCSW

Individual provider Clinical Social Worker · NPI 1649002932

Ezell Clark, LCSW is a Clinical Social Worker in North Richland Hills, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2024
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

4925 Davis Blvd Ste NO220
North Richland Hills, TX 76180-6875
Phone: (682) 777-5021
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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 63456 (TX)

Record details

NPI number1649002932
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 15, 2024
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024

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