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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIELLA E CLARK, LCSW

Active Sole Proprietor

MARIELLA E CLARK, LCSW is a Clinical Social Worker healthcare provider located in LAKESIDE, Texas. NPI 1245798156 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LAKESIDE, TX

Registration Details

NPI Number
1245798156
Provider Type
Individual
Gender
Female
NPI Issued
Mar 10, 2019 (7.4114921128643 yrs)
Last Updated
Dec 15, 2019
License
57729 (TX)
Sole Proprietor
Yes

Practice Information

Address
121 OAKWOOD CT
LAKESIDE, TX, 761354932
Browse TX providers · Browse ZIP 76135
Phone
8177790850
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in LAKESIDE, TX

Name Credential NPI
KELLE CREECY WHITE LCSW-S 1821975566
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.