Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACEY LYN CLARK, LMSW
ActiveTRACEY LYN CLARK, LMSW is a Clinical Social Worker healthcare provider located in GRAND RAPIDS, Michigan. NPI 1912402017 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1912402017
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 29, 2018 (8.3554958215824 yrs)
- Last Updated
- Dec 11, 2024
- Licenses
-
6801101970 (MI)6801119078 (MI)
Practice Information
- Address
-
300 68TH ST SEGRAND RAPIDS, MI, 495486927Browse MI providers · Browse ZIP 49548
- Phone
- 6164555000
- Fax
- 6164555960
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| LISA J. GRIFFIN | LMSW | 1598765992 |
| MATTHEW D JACHALKE | LMSW | 1306833439 |
| ROBERT W KOPFENSTEINER JR. | LMSW | 1386623643 |
| CAROLE CHISHOLM | LMSW CSW | 1356312474 |
| ROBERT DAVIS | LMSW CSW | 1962473090 |
| SUSAN K STAUFFER | LMSW | 1922070143 |
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.