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

Robert Clock, LCSW

Individual provider Clinical Social Worker · NPI 1164630059

Robert Clock, LCSW is a Clinical Social Worker in Greenlawn, New York. Qualified in 2000, 26 years ago. Practices with Living Waters LCSW PC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
26
Licensed in
NY
In the registry since
2007
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

29 Northgate Dr
Greenlawn, NY 11740-2312
Phone: (631) 271-0913
Fax: (631) 261-3250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 063616-1 (NY)

Record details

NPI number1164630059
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 21, 2007
Last updated in NPPESSeptember 16, 2022
Certification dateSeptember 16, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Living Waters Lcsw Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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