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

Mrs. Kim Clark, LICSW

Individual provider Clinical Social Worker · NPI 1508074311

Mrs. Kim Clark, LICSW is a Clinical Social Worker in South Royalton, Vermont. Practices as a sole proprietor. Licensed in Massachusetts and Vermont.

Licensed in
MA, VT
In the registry since
2007
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

226 Leonard Rd
South Royalton, VT 05068-9565
Phone: (802) 763-8773
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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 0890000559 (VT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 101057 (MA)

Record details

NPI number1508074311
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMay 18, 2007
Last updated in NPPESJuly 9, 2007

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