Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. KIMBERLY ANN CLARK MSW, LCSW
NPI 1114968682
Social Worker - Clinical in Salt Lake City, UT

Q: What is Kimberly Clark's NPI number?

The NPI number for Kimberly Clark is 1114968682. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Kimberly Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Clark was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.

Active since June 08, 2006

500 FOOTHILL DR, MAIL CODE 182H, SALT LAKE CITY, UT 84148(801) 582-1565(801) 584-5609 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Kimberly Ann Clark Msw, Lcsw NPPES

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

MRS. KIMBERLY ANN CLARK MSW, LCSW (NPI 1114968682) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (2686503501) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1114968682

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. KIMBERLY ANN CLARKCredential: MSW, LCSW

Location Address500 FOOTHILL DR, MAIL CODE 182HSalt Lake City, UT 84148-0001

Mailing Address500 Foothill Dr, Mail Code 182hSalt Lake City, UT 84148-0001 · (801) 582-1565 · Fax (801) 584-5609

Phone(801) 582-1565

Fax(801) 584-5609

Sole ProprietorNo

Enumeration DateJune 8, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1114968682 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 UT · 2686503501

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.

500 FOOTHILL DR, Salt Lake City, UT 84148

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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.

HUNTER BULLOCK MLS(ASCP)

Technician, Pathology (Medical Laboratory)