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

Jason Matthew Clark, LICSW

Individual provider Clinical Social Worker · NPI 1104699586

Jason Matthew Clark, LICSW is a Clinical Social Worker in Toney, Alabama. Licensed in Alabama. Registered with an NPI since 2023.

Licensed in
AL
In the registry since
2023
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

9869 Pulaski Pike Ste C
Toney, AL 35773-7201
Phone: (256) 850-4091
Fax: (256) 970-1643
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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 5478C (AL)

Record details

NPI number1104699586
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 6, 2023
Last updated in NPPESNovember 9, 2025
Certification dateNovember 9, 2025

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