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

Individual provider Clinical Social Worker · NPI 1841927415

Nicole Renae Clark, LICSW is a Clinical Social Worker in Birmingham, Alabama. Works from 2 locations. Licensed in Alabama.

Licensed in
AL
In the registry since
2022
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

48 Medical Park Dr E
Birmingham, AL 35235-3400
Phone: (205) 517-7730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 27th Ave Nw, Center Point, AL 35215-2216 — (205) 482-2739

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 3619C (AL)

Record details

NPI number1841927415
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 4, 2022
Last updated in NPPESAugust 4, 2022
Certification dateAugust 3, 2022

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