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

Mr. Jack Malcolm Clark III, LCSW

Individual provider Clinical Social Worker · NPI 1841311487

Mr. Jack Malcolm Clark III, LCSW is a Clinical Social Worker in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
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

7711 Madonna
San Antonio, TX 78216-6620
Phone: (210) 377-1133
Fax: (210) 377-1230
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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 36151 (TX)

Record details

NPI number1841311487
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 2, 2007
Last updated in NPPESMay 24, 2021
Certification dateMay 12, 2021

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