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

Patrick Michael Clark, LMSW

Individual provider Clinical Social Worker · NPI 1104513506

Patrick Michael Clark, LMSW is a Clinical Social Worker in Waterloo, New York. Practices as a sole proprietor. Licensed in Minnesota and New York.

Licensed in
MN, NY
In the registry since
2023
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

31 Thurber Dr
Waterloo, NY 13165-1665
Phone: (315) 539-1980
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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 128055-01 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 29834 (MN)

Record details

NPI number1104513506
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedApril 18, 2023
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025
Mailing address31 Thurber Dr, Waterloo, NY 13165-1665

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