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

Timothy Clark, LICSW

Individual provider Social Worker · NPI 1538263801

Timothy Clark, LICSW is a Clinical Social Worker in West Barnstable, Massachusetts. Qualified in 1981, 45 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
45
Licensed in
MA
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

1170 Main St Rt 6A
West Barnstable, MA 02665
Phone: (508) 737-2701
Fax: (508) 548-5789

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 105406 (MA)

Record details

NPI number1538263801
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 8, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 905, Falmouth, MA 02541

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services