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MS. SANDRA ANN CLARK MSW
NPI 1104862341
Social Worker - Clinical in Kittery, ME

Active since June 22, 2006
25 OLD FERRY LN, KITTERY, ME 03904(207) 439-5149(207) 439-6001 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Sandra Ann Clark Msw NPPES

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

MS. SANDRA ANN CLARK MSW (NPI 1104862341) is an individual clinical provider in Kittery, Maine, licensed in Maine (LC3768) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1104862341
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SANDRA ANN CLARKCredential: MSW
Location Address25 OLD FERRY LNKittery, ME 03904-1305
Mailing Address25 Old Ferry LnKittery, ME 03904-1305 · (207) 439-5149 · Fax (207) 439-6001
Phone(207) 439-5149
Fax(207) 439-6001
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104862341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in ME · LC3768✔ Licensed in NH · LICSW298✔ Licensed in MA · LICSW1017961
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.
25 OLD FERRY LN, Kittery, ME 03904
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Other Identifiers 3

Medicaid30420808NH
Medicare ID-Type UnspecifiedMM3960ME · Medicare
Medicaid0024738MA

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 Sandra Clark's NPI number?

The NPI number for Sandra Clark is 1104862341. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Sandra Clark located?

Sandra Clark practices at 25 Old Ferry Ln, Kittery, ME 03904. The listed phone number is (207) 439-5149.

What is Sandra 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 Sandra Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.