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

Mr. Clark E Wooldridge Jr., LISW, ACP

Individual provider Clinical Social Worker · NPI 1649380502

Mr. Clark E Wooldridge Jr., LISW, ACP is a Clinical Social Worker in Clovis, New Mexico. Licensed in New Mexico and Texas. Registered with an NPI since 2006.

Licensed in
NM, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

1220 Mitchell
Clovis, NM 88101
Phone: (806) 681-6745
Fax: (505) 742-3182
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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 I2267 (NM)
Clinical Social Worker Taxonomy 1041C0700X · Licence 05339 (TX)

Record details

NPI number1649380502
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW , ACP
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 8, 2007

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