Active NPIIndividual provider

Mrs. Johanna D Clark, LCSW

Social Worker, Clinical in Collingswood, New Jersey

NPI Number1508962408
Practice location
1107 Stokes Ave, Collingswood, NJ 08108-3307
Fax
—
Last updated
October 1, 2025

Johanna Daniela Clark is a Social Worker, Clinical based in Collingswood, NJ. Johanna Daniela Clark practices in Collingswood, NJ and has the professional credentials of LCSW. The NPI Number for Johanna Daniela Clark is 1508962408 and holds a License No. 093547 (NY). The current practice location address for Johanna Daniela Clark is 1107 Stokes Ave, Collingswood, NJ 08108-3307 and can be reached out via phone at 856-617-1896.

Provider Profile Details

NPI Number
1508962408
Provider Name
Johanna Daniela Clark
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1107 Stokes Ave, Collingswood, NJ 08108-3307
Phone Number
856-617-1896
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 16, 2006
Last Update Date
October 1, 2025
Certification Date
October 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1107 Stokes Ave
Collingswood, NJ 08108-3307
Zip
08108-3307
Phone Number
856-617-1896
Collingswood, NJ 08108Get directions →

Provider Business Mailing Address Details

Address
1107 Stokes Ave
Collingswood, NJ 08108-3307
City
Collingswood
State
NJ
Zip
08108-3307
Phone Number
856-617-1896

License Information

License Number (1)
093547
License State (1)
NY
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
CW015431
License State (2)
PA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Mrs. Johanna D Clark, LCSW?

The NPI number of Mrs. Johanna D Clark, LCSW is 1508962408. It was assigned on September 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Johanna D Clark, LCSW?

Mrs. Johanna D Clark, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 093547.

Where does Mrs. Johanna D Clark, LCSW practice?

The practice location is 1107 Stokes Ave, Collingswood, NJ 08108-3307. The office can be reached at 856-617-1896 (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 1508962408 directly on the NPPES registry website.

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