Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KIM CLARK, L.I.C.S.W.
Active Sole ProprietorMRS. KIM CLARK, L.I.C.S.W. is a Clinical Social Worker healthcare provider located in SOUTH ROYALTON, Vermont. NPI 1508074311 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SOUTH ROYALTON, VT
Registration Details
- NPI Number
- 1508074311
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2007 (19.218794863849 yrs)
- Last Updated
- Jul 9, 2007
- Licenses
-
101057 (MA)0890000559 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
226 LEONARD RDSOUTH ROYALTON, VT, 050689565Browse VT providers · Browse ZIP 05068
- Phone
- 8027638773
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in SOUTH ROYALTON, VT
| Name | Credential | NPI |
|---|---|---|
| AMANDA ENRIGHT | LICSW | 1184221020 |
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.