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

Mrs. Jessica Clark, LCSW

Individual provider Social Worker · NPI 1316542152

Mrs. Jessica Clark, LCSW is a Social Worker in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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

3710 Richmond Ave
Staten Island, NY 10312-3848
Phone: (718) 967-0490
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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 094488 (NY)
Social Worker Taxonomy 104100000X · Licence 101713 (NY)

Record details

NPI number1316542152
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 1, 2020
Last updated in NPPESJanuary 2, 2023
Certification dateJanuary 2, 2023

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