Active NPIIndividual provider

Jennifer Clark, LICSW

Social Worker, Clinical in Malden, Massachusetts

NPI Number1053444331
Practice location
6 Pleasant St, 6TH Floor, Malden, MA 02148-5100
Fax
—
Last updated
July 8, 2007

Jennifer Clark is a Social Worker, Clinical based in Malden, MA. Jennifer Clark practices in Malden, MA and has the professional credentials of LICSW. The NPI Number for Jennifer Clark is 1053444331 and holds a License No. 113339 (MA). The current practice location address for Jennifer Clark is 6 Pleasant St, 6TH Floor, Malden, MA 02148-5100 and can be reached out via phone at 781-322-1503.

Provider Profile Details

NPI Number
1053444331
Provider Name
Jennifer Clark
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
6 Pleasant St, 6TH Floor, Malden, MA 02148-5100
Phone Number
781-322-1503
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
March 14, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Pleasant St
6TH Floor
Malden, MA 02148-5100
City
Malden
Zip
02148-5100
Phone Number
781-322-1503
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
184 Cross St
Winchester, MA 01890-1118
City
Winchester
State
MA
Zip
01890-1118
Phone Number
508-414-3890

License Information

License Number
113339
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Malden, MA

View all Social Worker, Clinical providers in Malden →

Frequently Asked Questions

What is the NPI number of Jennifer Clark, LICSW?

The NPI number of Jennifer Clark, LICSW is 1053444331. It was assigned on March 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Jennifer Clark, LICSW?

Jennifer Clark, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113339.

Where does Jennifer Clark, LICSW practice?

The practice location is 6 Pleasant St, 6TH Floor, Malden, MA 02148-5100. The office can be reached at 781-322-1503 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053444331 directly on the NPPES registry website.

Browse related providers