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

Individual provider Clinical Social Worker · NPI 1467338996

Nicole Lee Clark, LCSW is a Clinical Social Worker in Colts Neck, New Jersey. Qualified in 2022, 4 years ago. Practices with Perlman Counseling and Supervision Services LLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2025
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

9 Warrenton Ln
Colts Neck, NJ 07722-1065
Phone: (917) 932-4774
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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 44SC06530800 (NJ)

Record details

NPI number1467338996
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Perlman Counseling And Supervision Services Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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