IndividualActive
Ezell Clark, LCSW
NPI 1649002932 · Clinical Social Worker · North Richland Hills, TX
Provider details
- NPI number
- 1649002932
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 63456 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4925 Davis Blvd Ste No220
North Richland Hills, TX 76180-6875
Phone: (682) 777-5021
Approximate (ZIP-level) locationGet directions
Mailing address
7936 Arlie Ln
North Richland Hills, TX 76182-8719
Registry dates
- Enumerated
- 2024-08-15
- Last updated
- 2024-08-15
- Certified
- 2024-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.