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

Justin D Clark, LCSW

Individual provider Clinical Social Worker · NPI 1912483645

Justin D Clark, LCSW is a Clinical Social Worker in Murray, Utah. Licensed in Utah. Registered with an NPI since 2018.

Licensed in
UT
In the registry since
2018
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

4516 S 700 E Ste 170
Murray, UT 84107-8320
Phone: (801) 613-2552
Fax: (801) 459-1200
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 9539877-3501 (UT)

Record details

NPI number1912483645
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 16, 2018
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023

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