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

Individual provider Clinical Social Worker · NPI 1144746702

Roberta Clark, LCSW is a Clinical Social Worker in Clearwater, Florida. Qualified in 1970, 56 years ago. Practices with Cotler Healthcare and Development Inc, a 25-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
56
Licensed in
FL
In the registry since
2017
Specialties on file
2
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

1100 N Pine St
Clearwater, FL 33756-4104
Phone: (727) 442-7106
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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 SW5727 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW5727

Record details

NPI number1144746702
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 16, 2017
Last updated in NPPESAugust 16, 2017
Mailing address1440 Duncan Loop S # 4-101, Dunedin, FL 34698-1307

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1970 (56 years in practice)
Group practice Cotler Healthcare And Development Inc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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