JENNIFER ANN CLARK
NPI 1023675295
Social Worker - Clinical in Decatur, GA

Active since May 23, 2019
1123 CLAIREMONT AVE, DECATUR, GA 30030(404) 444-6621(877) 853-5776 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2022, Nov 15, 2022, May 23, 2019 (3 updates tracked since 2019).

About Jennifer Ann Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER ANN CLARK (NPI 1023675295) is an individual clinical provider in Decatur, Georgia, licensed in Georgia (CSW008185) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1023675295
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER ANN CLARK
Location Address1123 CLAIREMONT AVEDecatur, GA 30030-1207
Mailing Address1123 Clairemont AveDecatur, GA 30030-1207 · (404) 444-6621 · Fax (877) 853-5776
Fax(877) 853-5776
Sole ProprietorYes
Enumeration DateMay 23, 2019
Last NPPES UpdateNovember 21, 20223 updates tracked since enumeration
NPPES CertifiedNovember 21, 2022
NPI 1023675295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in GA · CSW008185
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License MSW008887 (GA)
1123 CLAIREMONT AVE, Decatur, GA 30030

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1123 CLAIREMONT AVE
DECATUR, GA 30030
Clinic/Center (Mental Health (Including Community Mental Health Center))
1123 CLAIREMONT AVE
DECATUR, GA 30030
Psychologist
1123 CLAIREMONT AVE
DECATUR, GA 30030
Clinic/Center (Adult Mental Health)
1123 CLAIREMONT AVE
DECATUR, GA 30030
Social Worker
1123 CLAIREMONT AVE
DECATUR, GA 30030
Social Worker
1123 CLAIREMONT AVE
DECATUR, GA 30030
Counselor (Mental Health)
1123 CLAIREMONT AVE
DECATUR, GA 30030
Social Worker (Clinical)
1123 CLAIREMONT AVE
DECATUR, GA 30030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Clark's NPI number?

The NPI number for Jennifer Clark is 1023675295. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Where is Jennifer Clark located?

Jennifer Clark practices at 1123 Clairemont Ave, Decatur, GA 30030. The listed phone number is (404) 444-6621.

What is Jennifer Clark's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Clark was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.