PATRICK MICHAEL CLARK LMSW
NPI 1104513506
Social Worker - Clinical in Waterloo, NY
About Patrick Michael Clark Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICK MICHAEL CLARK LMSW (NPI 1104513506) is an individual clinical provider in Waterloo, New York, licensed in New York (128055-01) and active in the NPI registry since April 2023.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Patrick Clark's NPI number?
The NPI number for Patrick Clark is 1104513506. It was assigned to this individual provider in the NPPES registry on April 18, 2023.
Where is Patrick Clark located?
Patrick Clark practices at 31 Thurber Dr, Waterloo, NY 13165. The listed phone number is (315) 539-1980.
What is Patrick 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 Patrick Clark was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.