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

Jonetta A Clark

Individual provider Clinical Social Worker · NPI 1750998407

Jonetta A Clark is a Clinical Social Worker in Dolton, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
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Practice location Address checks out

1401 Kasten Dr
Dolton, IL 60419-2443
Phone: (773) 679-0235
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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 149022533 (IL)

Record details

NPI number1750998407
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 28, 2020
Last updated in NPPESSeptember 28, 2020
Certification dateSeptember 28, 2020
Mailing address1401 Kasten Dr, Dolton, IL 60419-2443

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