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

Patrick Jeremiah Clark, MSW

Individual provider Clinical Social Worker · NPI 1235313388

Patrick Jeremiah Clark, MSW is a Clinical Social Worker in Waconia, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

540 E First St
Waconia, MN 55387-1601
Phone: (952) 442-4437
Fax: (952) 442-3084
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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 16872LICSW (MN)

Record details

NPI number1235313388
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorNo
NPI enumeratedDecember 26, 2007
Last updated in NPPESDecember 26, 2007
Mailing address540 E First St, Waconia, MN 55387-1601

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