IndividualActive
Allison Clark, LICSW
NPI 1245974609 · Clinical Social Worker · Concord, NH
Provider details
- NPI number
- 1245974609
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- SW22632 (FL)
Mailing address
Po Box 1595
Middletown, CT 06457-8095
Registry dates
- Enumerated
- 2022-04-22
- Last updated
- 2024-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.