Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLI MARIE CLARK
Active Sole ProprietorKELLI MARIE CLARK is a Clinical Social Worker healthcare provider located in MASSENA, New York. NPI 1104196815 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MASSENA, NY
Registration Details
- NPI Number
- 1104196815
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2012 (14.406920302874 yrs)
- Last Updated
- Apr 24, 2018
- License
-
R054044-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23 MAPLE STMASSENA, NY, 136621017Browse NY providers · Browse ZIP 13662
- Phone
- 3157698441
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in MASSENA, NY
| Name | Credential | NPI |
|---|---|---|
| MS. MARY ANN VANBUSKIRK | LCSW | 1073695672 |
| MS. HELENA MARIE PARISH | LCSW | 1770650897 |
| JOAN SHARON DELARM | MSW LCSWR ACSW DCSW | 1356480610 |
| JARED A DUNNE-THAYER | LCSW-R | 1922133487 |
| CYNTHIA MARIE BABBITT | LCSWR | 1154450880 |
| ANNE CARROLL BENDER | LCSW | 1891828679 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.