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

Individual provider Clinical Social Worker · NPI 1699026773

Rebecca Ann Clark, PHD, LCSW is a Clinical Social Worker in Fort Moore, Georgia. Works from 2 locations. Licensed in Alabama and Georgia.

Licensed in
AL, GA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
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

6600 Van Aalst Blvd Bldg 9250
Fort Moore, GA 31905-2102
Phone: (270) 535-2545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9038 Sonoma Pointe Dr, Columbus, GA 31909-6023 — (270) 535-2545

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW007735 (GA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 1151-3714C (AL)

Record details

NPI number1699026773
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LCSW
Sole proprietorNo
NPI enumeratedSeptember 28, 2012
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024

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