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

Individual provider Clinical Social Worker · NPI 1932561115

Mr. Brandon W. Clark, LCSW is a Clinical Social Worker in Lewiston, Idaho. Practices as a sole proprietor. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2016
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

0309 2nd St
Lewiston, ID 83501-2163
Phone: (208) 717-4453
Fax: (855) 564-1778
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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 LCSW 35356 (ID)
Clinical Social Worker Taxonomy 1041C0700X · Licence LW61085980 (WA)

Record details

NPI number1932561115
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 25, 2016
Last updated in NPPESOctober 14, 2021
Certification dateOctober 14, 2021

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