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

Jacqueline Clark

Individual provider Clinical Social Worker · NPI 1942084629

Jacqueline Clark is a Clinical Social Worker in Burlington, Vermont. Licensed in Vermont. Registered with an NPI since 2023.

Licensed in
VT
In the registry since
2023
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Practice location Address checks out

1138 Pine St
Burlington, VT 05401-5353
Phone: (802) 488-6000
Fax: (802) 488-6919
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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 089.0135410 (VT)

Record details

NPI number1942084629
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2023
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023
Mailing address208 Flynn Ave Ste 3j, Burlington, VT 05401-5420

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