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

KATHLEEN M. CLARK, L.C.S.W. , B.C.D.

Active Sole Proprietor

Clinical Social Worker · AUSTIN, TX

Registration Details

NPI Number
1740276906
Provider Type
Individual
Gender
Female
NPI Issued
Sep 23, 2005 (20.576490733803 yrs)
Last Updated
Sep 8, 2008
Licenses
S03218 (TX)
3218 (TX)
Sole Proprietor
Yes

Practice Information

Address
3724 JEFFERSON ST
SUITE 206
AUSTIN, TX, 787316221
Browse TX providers · Browse ZIP 78731
Phone
5124528948
Fax
5124520459
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in AUSTIN, TX

Name Credential NPI
MR. GEORGE P GLASER M.S.W. 1891797163
MS. CAROL ANN DODGEN L.C.S.W. 1508865742
MRS. JANET ELISE KAUTZ LCSW 1114927233
ELAINE SQUIRES LCSW 1558362442
LAURA L WHEELER LCSW 1366443269
MR. GERALD HOWARD LOWE LCSW 1366439556
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.