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

Tina Denice Clark, LCSW

Individual provider Social Worker · NPI 1063857076

Tina Denice Clark, LCSW is a Clinical Social Worker in Jonesboro, Arkansas. Qualified in 2016, 10 years ago. Practices with St Bernards Hospital Inc, a 185-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
10
Licensed in
AR
In the registry since
2013
Specialties on file
3
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

2712 E Johnson Ave
Jonesboro, AR 72405-1874
Phone: (870) 932-2800
Fax: (870) 932-1189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 837 Willett Road, Jonesboro, AR 72401 — (870) 393-5335
  • 615 E Matthews Ave, Jonesboro, AR 72401-3145 — (870) 930-9090

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7038-C (AR)
Social Worker Taxonomy 104100000X (AR)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1063857076
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 3, 2013
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Bernards Hospital Inc. — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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