Active NPIIndividual providerSole proprietor

Jennifer Clark, LCSW

Social Worker, Clinical in North Franklin, Connecticut

NPI Number1417028937
Practice location
72 Route 32, North Franklin, CT 06254-1810
Fax
860-367-0342
Last updated
July 9, 2007

Jennifer Clark is a Social Worker, Clinical based in North Franklin, CT. Jennifer Clark practices in North Franklin, CT and has the professional credentials of LCSW. The NPI Number for Jennifer Clark is 1417028937 and holds a License No. 006060 (CT). The current practice location address for Jennifer Clark is 72 Route 32, North Franklin, CT 06254-1810 and can be reached out via phone at 860-917-0790 and via fax at 860-367-0342.

Provider Profile Details

NPI Number
1417028937
Provider Name
Jennifer Clark
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
72 Route 32, North Franklin, CT 06254-1810
Phone Number
860-917-0790
Fax Number
860-367-0342
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 13, 2006
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
72 Route 32
North Franklin, CT 06254-1810
Zip
06254-1810
Phone Number
860-917-0790
Fax Number
860-367-0342
North Franklin, CT 06254Get directions →

Provider Business Mailing Address Details

Address
12 Liberty RD
Oakdale, CT 06370-1211
City
Oakdale
State
CT
Zip
06370-1211

License Information

License Number
006060
License State
CT
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 North Franklin, CT

View all Social Worker, Clinical providers in North Franklin →

Frequently Asked Questions

What is the NPI number of Jennifer Clark, LCSW?

The NPI number of Jennifer Clark, LCSW is 1417028937. It was assigned on November 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Jennifer Clark, LCSW?

Jennifer Clark, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 006060.

Where does Jennifer Clark, LCSW practice?

The practice location is 72 Route 32, North Franklin, CT 06254-1810. The office can be reached at 860-917-0790 (phone) or 860-367-0342 (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 1417028937 directly on the NPPES registry website.

Browse related providers