Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONETTA A CLARK
Active Sole ProprietorJONETTA A CLARK is a Clinical Social Worker healthcare provider located in DOLTON, Illinois. NPI 1750998407 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · DOLTON, IL
Registration Details
- NPI Number
- 1750998407
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 28, 2020 (5.8537685893274 yrs)
- Last Updated
- Sep 28, 2020
- License
-
149022533 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1401 KASTEN DRDOLTON, IL, 604192443Browse IL providers · Browse ZIP 60419
- Phone
- 7736790235
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in DOLTON, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. PHYLLIS FERGUSON COLLUM | LCSW | 1902202054 |
| MR. SHAUNE DOUGLAS FREEMAN | LCSW | 1700405594 |
| KRISTIAN NELSON | — | 1699402974 |
| MRS. YAZMINE NICOLE HOWARD | LCSW | 1720702541 |
| PARIS WILLIAMS | — | 1265145643 |
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.