EMILIE KATHERINE CLARK LCSW
NPI 1083132294
Social Worker - Clinical in New York, NY

Active since September 07, 2017
90 BROAD ST # 1038, NEW YORK, NY 10004(929) 399-6755 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2024, Nov 2, 2023, Sep 6, 2023 and 2 more (5 updates tracked since 2019).

About Emilie Katherine Clark Lcsw NPPES

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

EMILIE KATHERINE CLARK LCSW (NPI 1083132294) is an individual clinical provider in New York, New York, licensed in New York (095392-01) and active in the NPI registry since September 2017. She maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1083132294
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEMILIE KATHERINE CLARKCredential: LCSW
Location Address90 BROAD ST # 1038New York, NY 10004-2205
Mailing Address90 Broad St Rm 1038New York, NY 10004-2205
Sole ProprietorNo
Enumeration DateSeptember 7, 2017
Last NPPES UpdateAugust 16, 20245 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
NPI 1083132294 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 NY · 095392-01
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 108014-01 (NY)
90 BROAD ST # 1038, New York, NY 10004

Secondary Practice Location 1

Location 115 W 12th St Apt 1GNew York, NY 10011-8557 · Phone (929) 399-6755

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 Emilie Clark's NPI number?

The NPI number for Emilie Clark is 1083132294. It was assigned to this individual provider in the NPPES registry on September 7, 2017.

Where is Emilie Clark located?

Emilie Clark practices at 90 Broad St # 1038, New York, NY 10004. The listed phone number is (929) 399-6755.

What is Emilie 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 Emilie Clark was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.