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

Stacey Lynne Clark, LCSW

Individual provider Clinical Social Worker · NPI 1720837511

Stacey Lynne Clark, LCSW is a Clinical Social Worker in American Fork, Utah. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024
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

1062 E Bamberger Dr
American Fork, UT 84003-5504
Phone: (801) 642-2193
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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 5107906-3501 (UT)

Record details

NPI number1720837511
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 15, 2024
Last updated in NPPESMay 15, 2024
Certification dateMay 13, 2024

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