Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELE MARIE CLARK, LCSW
Deactivated Sole ProprietorMICHELE MARIE CLARK, LCSW is a Clinical Social Worker healthcare provider located in DARIEN, Illinois. NPI 1164772224 is deactivated in the NPPES registry. Verify at CMS.
Clinical Social Worker · DARIEN, IL
This NPI has been deactivated.
The record was deactivated on June 21, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1164772224
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 17, 2012 (5.758904109589 yrs)
- Last Updated
- Jun 28, 2022
- Deactivated
- Jun 21, 2018
- License
-
149.014722 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8629 PEARSON DRDARIEN, IL, 605611745Browse IL providers · Browse ZIP 60561
- Phone
- 3127157587
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in DARIEN, IL
| Name | Credential | NPI |
|---|---|---|
| CHASITY DAVIS | LCSW | 1215138946 |
| ASHLEY ELIZABETH ROSALES | MSW LCSW | 1538604202 |
| CHRISTINE MANUEL | LCSW | 1750812111 |
| TAYLOR SANDERS | — | 1174139638 |
| MARIA JANDAK | — | 1871177691 |
| ESTHER J KIM | LCSW | 1326791112 |
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.