JASON MATTHEW CLARK LICSW
NPI 1104699586
Social Worker - Clinical in Toney, AL

Active since November 06, 2023
9869 PULASKI PIKE STE C, TONEY, AL 35773(256) 850-4091(256) 970-1643 Get Directions Write a Review

NPPES record last updated: November 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 9, 2025, Nov 6, 2023 (2 updates tracked since 2023).

About Jason Matthew Clark Licsw NPPES

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

JASON MATTHEW CLARK LICSW (NPI 1104699586) is an individual clinical provider in Toney, Alabama, licensed in Alabama (5478C) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1104699586
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJASON MATTHEW CLARKCredential: LICSW
Location Address9869 PULASKI PIKE STE CToney, AL 35773-7201
Mailing Address9869 Pulaski Pike Ste CToney, AL 35773-7201 · (256) 850-4091 · Fax (256) 975-1643
Fax(256) 970-1643
Sole ProprietorNo
Enumeration DateNovember 6, 2023
Last NPPES UpdateNovember 9, 20252 updates tracked since enumeration
NPPES CertifiedNovember 9, 2025
NPI 1104699586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in AL · 5478C
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.
9869 PULASKI PIKE STE C, Toney, AL 35773

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Social Worker
9869 PULASKI PIKE STE C
TONEY, AL 35773
Counselor (Mental Health)
9869 PULASKI PIKE STE C
TONEY, AL 35773

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 Jason Clark's NPI number?

The NPI number for Jason Clark is 1104699586. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Where is Jason Clark located?

Jason Clark practices at 9869 Pulaski Pike Ste C, Toney, AL 35773. The listed phone number is (256) 850-4091.

What is Jason Clark's specialty?

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

What insurance does Jason Clark accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Jason Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Clark was last updated on November 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.