Mr. John Lewis Clark, LICSW
Mr. John Lewis Clark, LICSW is a Clinical Social Worker in St Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.
- Licensed in
- MN
- In the registry since
- 2007
What do these letters mean?
- LICSW — Licensed Independent Clinical Social Worker
- The title some states use for an independently practising clinical social worker.
Practice location Address checks out
1845 University Ave WSt Paul, MN 55104
Phone: (651) 644-2600
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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 7084 (MN) |
|---|
Record details
| NPI number | 1285856559 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LICSW |
| Sole proprietor | No |
| NPI enumerated | May 3, 2007 |
| Last updated in NPPES | July 8, 2007 |
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