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

Melissa Jean Clark, LCSW

Individual provider Social Worker · NPI 1568970937

Melissa Jean Clark, LCSW is a Social Worker in Syracuse, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
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

620 Madison St
Syracuse, NY 13210-2319
Phone: (315) 426-5467
Fax: (315) 426-5451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 073453-1 (NY)

Record details

NPI number1568970937
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 18, 2018
Last updated in NPPESJanuary 18, 2018

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