Patrick Clark, LMSW
NPI 1104513506 · Clinical Social Worker · Waterloo, NY
Patrick Clark, LMSW is a Clinical Social Worker provider in Waterloo, NY (NPI 1104513506).
Provider details
- NPI number
- 1104513506
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 29834 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-04-18
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Frequently asked questions
- What is Patrick Clark's NPI number?
- Patrick Clark's National Provider Identifier (NPI) is 1104513506, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Patrick Clark's specialty?
- Patrick Clark is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Patrick Clark located?
- Patrick Clark's practice location on file with NPPES is 31 Thurber Dr, Waterloo, NY 13165-1665.
- What is Patrick Clark's phone number?
- The practice phone number listed in the NPPES registry for Patrick Clark is (315) 539-1980.
- Is Patrick Clark's NPI active?
- Yes — Patrick Clark's NPI (1104513506) is active in the NPPES registry as of the last update on 2025-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.