Active NPIIndividual provider

Kaisa Clark, LICSW

Social Worker, Clinical in Amherst, Massachusetts

NPI Number1316545486
Practice location
31 Hall Dr, Amherst, MA 01002-2751
Fax
866-644-0869
Last updated
November 4, 2025

Kaisa Clark is a Social Worker, Clinical based in Amherst, MA. Kaisa Clark practices in Amherst, MA and has the professional credentials of LICSW. The NPI Number for Kaisa Clark is 1316545486 and holds a License No. 119672 (MA). The current practice location address for Kaisa Clark is 31 Hall Dr, Amherst, MA 01002-2751 and can be reached out via phone at 413-256-8561 and via fax at 866-644-0869.

Provider Profile Details

NPI Number
1316545486
Provider Name
Kaisa Clark
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
31 Hall Dr, Amherst, MA 01002-2751
Phone Number
413-256-8561
Fax Number
866-644-0869
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 12, 2020
Last Update Date
November 4, 2025
Certification Date
November 4, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Hall Dr
Amherst, MA 01002-2751
Zip
01002-2751
Phone Number
413-256-8561
Fax Number
866-644-0869
Amherst, MA 01002Get directions →

Provider Business Mailing Address Details

Address
31 Hall Dr
Amherst, MA 01002-2751
City
Amherst
State
MA
Zip
01002-2751
Phone Number
413-256-8561
Fax Number
866-644-0869

License Information

License Number
119672
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.

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Frequently Asked Questions

What is the NPI number of Kaisa Clark, LICSW?

The NPI number of Kaisa Clark, LICSW is 1316545486. It was assigned on October 12, 2020 and is currently active in the NPPES registry.

What is the specialty of Kaisa Clark, LICSW?

Kaisa Clark, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 119672.

Where does Kaisa Clark, LICSW practice?

The practice location is 31 Hall Dr, Amherst, MA 01002-2751. The office can be reached at 413-256-8561 (phone) or 866-644-0869 (fax).

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 1316545486 directly on the NPPES registry website.

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