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

Kelly Anne Clark

Individual provider Clinical Social Worker · NPI 1073083788

Kelly Anne Clark is a Clinical Social Worker in Vestal, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

1715 Castle Gardens Rd
Vestal, NY 13850-1175
Phone: (607) 341-7017
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 075351 (NY)

Record details

NPI number1073083788
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 26, 2018
Last updated in NPPESNovember 26, 2018

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