John Lewis Clark, LICSW

Clinical Social Worker · St. Paul, MN

Individual Active NPI

NPI number 1285856559

Practice location

1845 University Avenue West
St. Paul, MN 55104
Phone
(651) 644-2600

Open in Google Maps

NPI record

NPI
1285856559
Entity type
Individual (Type 1)
Enumeration date
May 3, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 7084 MN

Mailing address

7352 Bolton Way
Inver Grove Heights, MN 55076-2337
Phone
(651) 450-7327

About John Clark

John Lewis Clark, LICSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 1845 University Avenue West, St. Paul, MN 55104. The NPI number 1285856559 was assigned on May 3, 2007 and the record was last updated on July 8, 2007.

John Clark lists a license in the registry: #7084 (MN) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Lewis Clark, LICSW?

The NPI number is 1285856559.

What is the phone number of John Clark?

The phone number listed for the practice location is (651) 644-2600.

Where is John Clark located?

1845 University Avenue West, St. Paul, MN 55104.

What is the taxonomy code for John Clark?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Clinical Social Worker providers in St. Paul

All Clinical Social Worker providers in St. Paul, MN →