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

Katelynn Michelle Clark, LCSW

Individual provider Clinical Social Worker · NPI 1700636917

Katelynn Michelle Clark, LCSW is a Clinical Social Worker in Tacoma, Washington. Licensed in North Carolina. Registered with an NPI since 2024.

Licensed in
NC
In the registry since
2024
Specialties on file
2
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

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (914) 330-7140
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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 C016578 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence C016578

Record details

NPI number1700636917
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 22, 2024
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024

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