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

Mrs. Teresa Clark, LCSW, QS

Individual provider Clinical Social Worker · NPI 1699939686

Mrs. Teresa Clark, LCSW, QS is a Clinical Social Worker in Hurlburt Field, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008
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

113 Lielmanis Ave
Hurlburt Field, FL 32544-5613
Phone: (850) 884-2147
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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 SW11830 (FL)

Record details

NPI number1699939686
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , QS
Sole proprietorYes
NPI enumeratedJuly 18, 2008
Last updated in NPPESDecember 26, 2023
Certification dateDecember 26, 2023

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