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

Gregory Scott Clark, LCSW

Individual provider Clinical Social Worker · NPI 1568447100

Gregory Scott Clark, LCSW is a Clinical Social Worker in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
Specialties on file
2
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

645 S Rogers St
Bloomington, IN 47403-2353
Phone: (812) 339-1691
Fax: (812) 337-2259
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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 34000010A (IN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 34000010A (IN)

Record details

NPI number1568447100
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 7, 2005
Last updated in NPPESApril 29, 2009
Mailing address645 S Rogers St, Bloomington, IN 47403-2353

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