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

MS. Gayle Ann Clark, LICSW

Individual provider Clinical Social Worker · NPI 1407130123

MS. Gayle Ann Clark, LICSW is a Clinical Social Worker in Brockton, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2011
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

940 Belmont St
Brockton, MA 02301-5596
Phone: (774) 826-2834
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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 118148 (MA)

Record details

NPI number1407130123
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedSeptember 29, 2011
Last updated in NPPESSeptember 2, 2020
Certification dateSeptember 2, 2020

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