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CHARITY CLARK LCSW
NPI 1205713849
Social Worker - Clinical in Idaho Falls, ID

Active since August 18, 2025
560 S WOODRUFF AVE, IDAHO FALLS, ID 83401(208) 881-2802 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charity Clark Lcsw NPPES

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

CHARITY CLARK LCSW (NPI 1205713849) is an individual clinical provider in Idaho Falls, Idaho, licensed in Idaho (LCSW-43896) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1205713849
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHARITY CLARKCredential: LCSW
Location Address560 S WOODRUFF AVEIdaho Falls, ID 83401-5298
Mailing Address4375 Natalie StIdaho Falls, ID 83401-3825 · (208) 201-0490
Phone(208) 881-2802
Sole ProprietorYes
Enumeration DateAugust 18, 2025
NPPES CertifiedAugust 17, 2025
✔ NPI 1205713849 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 ID · LCSW-43896
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.
560 S WOODRUFF AVE, Idaho Falls, ID 83401
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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.

JOHN AEBISCHER LSW
Social Worker
560 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 243-8886
SAM JOHNSON REISS LSW
Social Worker
560 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 329-8762

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 Charity Clark's NPI number?

The NPI number for Charity Clark is 1205713849. It was assigned to this individual provider in the NPPES registry on August 18, 2025.

Where is Charity Clark located?

Charity Clark practices at 560 S Woodruff Ave, Idaho Falls, ID 83401. The listed phone number is (208) 881-2802.

What is Charity 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 Charity Clark was last updated on August 18, 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.