IndividualActive
Nicole Clark, LMSW
NPI 1407697717 · Social Worker · North Syracuse, NY
Nicole Clark, LMSW is a Social Worker provider in North Syracuse, NY (NPI 1407697717).
Provider details
- NPI number
- 1407697717
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- License
- 123078 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 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
7266 Buckley Rd
North Syracuse, NY 13212-2649
Phone: (315) 458-0919
Fax: (315) 458-0954
Street-level locationGet directions
Mailing address
8416b Shallowcreek Rd
Liverpool, NY 13090-1328
Registry dates
- Enumerated
- 2024-06-03
- Last updated
- 2025-09-18
- Certified
- 2025-09-18
Frequently asked questions
- What is Nicole Clark's NPI number?
- Nicole Clark's National Provider Identifier (NPI) is 1407697717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Clark's specialty?
- Nicole Clark is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Nicole Clark located?
- Nicole Clark's practice location on file with NPPES is 7266 Buckley Rd, North Syracuse, NY 13212-2649.
- What is Nicole Clark's phone number?
- The practice phone number listed in the NPPES registry for Nicole Clark is (315) 458-0919.
- Is Nicole Clark's NPI active?
- Yes — Nicole Clark's NPI (1407697717) is active in the NPPES registry as of the last update on 2025-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.