Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRANDON W. CLARK, LCSW
Active Sole ProprietorMR. BRANDON W. CLARK, LCSW is a Clinical Social Worker healthcare provider located in LEWISTON, Idaho. NPI 1932561115 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · LEWISTON, ID
Registration Details
- NPI Number
- 1932561115
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2016 (10.366393499162 yrs)
- Last Updated
- Oct 14, 2021
- Licenses
-
LW61085980 (WA)LCSW 35356 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
0309 2ND STLEWISTON, ID, 835012163Browse ID providers · Browse ZIP 83501
- Phone
- 2087174453
- Fax
- 8555641778
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in LEWISTON, ID
| Name | Credential | NPI |
|---|---|---|
| KATHERINE A GAGE | MSW LCSW | 1477640811 |
| URSULA R SCHRATTENHOLZER | MSW LCSW | 1396804860 |
| MARK JONES | LCSW | 1902946221 |
| MELISSA A ANSTINE | LCSW | 1275702946 |
| ALICIA FLYNNE POWELL | MSW | 1437317989 |
| MRS. CHIVONNE MARIE MRAZ | LCSW | 1235398017 |
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.