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

Individual provider Clinical Social Worker · NPI 1912402017

Tracey Lyn Clark, LMSW is a Clinical Social Worker in Grand Rapids, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

300 68th St SE
Grand Rapids, MI 49548-6927
Phone: (616) 455-5000
Fax: (616) 455-5960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 Barfield Dr, Hastings, MI 49058-9018 — (269) 948-8041

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801119078 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801101970 (MI)

Record details

NPI number1912402017
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedMarch 29, 2018
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024

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