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

Kevin P. Clark Sr., LCSW-R

Individual provider Clinical Social Worker · NPI 1497376958

Kevin P. Clark Sr., LCSW-R is a Clinical Social Worker in Goshen, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

30 Harriman Dr
Goshen, NY 10924-2410
Phone: (845) 291-2142
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 R-049202-1 (NY)

Record details

NPI number1497376958
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedMay 6, 2020
Last updated in NPPESMay 6, 2020
Certification dateMay 6, 2020

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