What is Jason Clark's NPI number?

Jason Clark's National Provider Identifier (NPI) is 1104699586, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jason Clark's specialty?

Jason Clark is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Jason Clark located?

Jason Clark's practice location on file with NPPES is 9869 Pulaski Pike Ste C, Toney, AL 35773-7201.

What is Jason Clark's phone number?

The practice phone number listed in the NPPES registry for Jason Clark is (256) 850-4091.

Is Jason Clark's NPI active?

Yes — Jason Clark's NPI (1104699586) is active in the NPPES registry as of the last update on 2025-11-09.

IndividualActive

Jason Clark, LICSW

NPI 1104699586 · Clinical Social Worker · Toney, AL

Jason Clark, LICSW is a Clinical Social Worker provider in Toney, AL (NPI 1104699586).

Provider details

NPI number: 1104699586
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LICSW
Sex: Male
Sole proprietor: No
License: 5478C (AL)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense 5478C (AL)
Behavioral Health & Social Service Providers

Profile Score

Established profile(57/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 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

9869 Pulaski Pike Ste C

Toney, AL 35773-7201

Phone: (256) 850-4091

Fax: (256) 970-1643

Street-level locationGet directions

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Mailing address