Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PATRICK MICHAEL CLARK, LMSW
Active Sole ProprietorClinical Social Worker · WATERLOO, NY
Registration Details
- NPI Number
- 1104513506
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2023 (3.0362261111391 yrs)
- Last Updated
- Aug 25, 2025
- Licenses
-
29834 (MN)128055-01 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31 THURBER DRWATERLOO, NY, 131651665Browse NY providers · Browse ZIP 13165
- Phone
- 3155391980
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in WATERLOO, NY
| Name | Credential | NPI |
|---|---|---|
| MS. MARY P GRACE | LCSW, CASAC, CPP | 1033139142 |
| MR. DAVID A DRUMHELLER SR. | LCSW-R | 1710997622 |
| MRS. KATHLEEN B PULLANO | LCSW-R, MSW | 1578573523 |
| MS. SUSAN HAMMOND | LCSW-R | 1457363459 |
| MARTHA ANN SIMS | M. DIV, MSW LCSW-R | 1871505586 |
| MRS. SARAH E LEVIS | LMSW | 1396757019 |
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.