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

George Clark, LICSW

Individual provider Social Worker · NPI 1801452040

George Clark, LICSW is a Clinical Social Worker in Worcester, Massachusetts. Qualified in 2001, 25 years ago. Practices with Spectrum Health Systems, Inc, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
25
Licensed in
MA
In the registry since
2019
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

105 Merrick St
Worcester, MA 01609-1937
Phone: (508) 797-6100
Fax: (508) 797-0693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 112041 (MA)

Record details

NPI number1801452040
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 14, 2019
Last updated in NPPESMay 14, 2019
Mailing address10 Mechanic St Ste 302, Worcester, MA 01608-2419

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Spectrum Health Systems, Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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