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Fred R Clark, LSW
Professional Counselor in Dunbar, West Virginia
NPI 1992894992

Fred R Clark is a Professional Counselor based in Hurricane, WV and is specialized in Professional. Fred R Clark practices in Dunbar, WV and has the professional credentials of LSW. The NPI Number for Fred R Clark is 1992894992 and holds a License No. AP00941076 (West Virginia).

The current practice location address for Fred R Clark is 1020 Grosscup Ave, Dunbar, WV and can be reached out via phone at 304-525-7851 and via fax at 304-525-1073.

Location: 1020 Grosscup Ave, Dunbar, WV, 25526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992894992
Provider Name
Fred R Clark
Credential
LSW
Provider Entity Type
Individual
Gender
Male
Address
1020 Grosscup Ave, Dunbar, WV, 25526
Phone Number
304-525-7851
Fax Number
304-525-1073
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP00941076 01 WV LSW
1704 01 WV LPC
institution
Provider Business Practice Location Address Details
Address
1020 Grosscup Ave
City
Dunbar
State
West Virginia
Zip
25064-3128
Phone Number
304-525-7851
Fax Number
304-525-1073
person
Provider Business Mailing Address Details
Address
1020 Grosscup Ave
City
Dunbar
State
West Virginia
Zip
25064-3128
Phone Number
304-525-7851
Fax Number
304-525-1073
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
1704 (West Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
AP00941076 (West Virginia)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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