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

Jennifer A Clark, LCSW

Individual provider Clinical Social Worker · NPI 1770893786

Jennifer A Clark, LCSW is a Clinical Social Worker in Petaluma, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
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

1301 Southpoint Blvd
Petaluma, CA 94954-6867
Phone: (707) 559-7500
Fax: (707) 559-7540
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ASW19290 (CA)

Record details

NPI number1770893786
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 13, 2010
Last updated in NPPESDecember 30, 2021

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