Stephanie Clark, LICSW
Social Worker, Clinical in Salem, Massachusetts
1306397690- Practice location
- 110 Boston St, Salem, MA 01970-1402
- Phone
- 617-702-4679
- Fax
- —
- Last updated
- October 27, 2026
Stephanie Clark is a Social Worker, Clinical based in Salem, MA. Stephanie Clark practices in Salem, MA and has the professional credentials of LICSW. The NPI Number for Stephanie Clark is 1306397690 and holds a License No. LICSW126083 (MA). The current practice location address for Stephanie Clark is 110 Boston St, Salem, MA 01970-1402 and can be reached out via phone at 617-702-4679.
Provider Profile Details
- NPI Number
- 1306397690
- Provider Name
- Stephanie Clark
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 110 Boston St, Salem, MA 01970-1402
- Phone Number
- 617-702-4679
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 20, 2016
- Last Update Date
- October 27, 2026
- Certification Date
- October 27, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 110 Boston St
Salem, MA 01970-1402 - City
- Salem
- State
- Massachusetts
- Zip
- 01970-1402
- Phone Number
- 617-702-4679
Provider Business Mailing Address Details
- Address
- Po Box 6108
Gloucester, MA 01930-6108 - City
- Gloucester
- State
- MA
- Zip
- 01930-6108
- Phone Number
- 617-702-4679
License Information
- License Number
- LICSW126083
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Salem, MA
View all Social Worker, Clinical providers in Salem →- Abigail GuillamaSocial Worker, Clinical · NPI 1437077666
- Adele Mckeon Millard LLCSocial Worker, Clinical · NPI 1235603804
- Alice HartySocial Worker, Clinical · NPI 1972036465
- Alicia R Bolognese, LICSWSocial Worker, Clinical · NPI 1245573062
- Allyse M Frieswyk, LICSWSocial Worker, Clinical · NPI 1386126886
- Amanda DrySocial Worker, Clinical · NPI 1376189597
Frequently Asked Questions
What is the NPI number of Stephanie Clark, LICSW?
The NPI number of Stephanie Clark, LICSW is 1306397690. It was assigned on October 20, 2016 and is currently active in the NPPES registry.
What is the specialty of Stephanie Clark, LICSW?
Stephanie Clark, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW126083.
Where does Stephanie Clark, LICSW practice?
The practice location is 110 Boston St, Salem, MA 01970-1402. The office can be reached at 617-702-4679 (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 1306397690 directly on the NPPES registry website.