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MISS ANDREA MAE CLARK MSW, LSW
NPI 1215670369
Social Worker in Rock Island, IL

Active since April 17, 2022
2701 17TH ST, ROCK ISLAND, IL 61201(309) 779-2031 Get Directions Write a Review

NPPES record last updated: April 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Andrea Mae Clark Msw, Lsw NPPES

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

MISS ANDREA MAE CLARK MSW, LSW (NPI 1215670369) is an individual social worker in Rock Island, Illinois and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1215670369
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMISS ANDREA MAE CLARKCredential: MSW, LSW
Location Address2701 17TH STRock Island, IL 61201-5351
Mailing Address2701 17th StRock Island, IL 61201-5351 · (309) 779-2031
Phone(309) 779-2031
Sole ProprietorNo
Enumeration DateApril 17, 2022
NPPES CertifiedApril 17, 2022
✔ NPI 1215670369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
2701 17TH ST, Rock Island, IL 61201
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Other Names 1

Other Name (5)Ms. Andi Mae Clark

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.

DR. QUANG TUNG NGUYEN M.D.
Internal Medicine
2701 17TH ST, HOSPITALIST PROGRAM
ROCK ISLAND, IL 61201
Rock Island County (309) 779-3100
DEEPTA SHANKAR ATRE STRAND M.D.
Emergency Medicine
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-5000
DANIELLE JILLIAN WADDLE LMSW
Social Worker
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2031
ALEXIA SWIFT
Registered Nurse (Psychiatric/Mental Health)
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-7500
SAMANTHA GOMAN
Counselor
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2031
MRS. KRISTINE KEAN RN
Registered Nurse (Psychiatric/Mental Health)
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-2031
BRITTANY MICHELLE REDMOND
Hospitalist
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-5000
IBRAHIM K TARAWNEH BA
Counselor (Mental Health)
2701 17TH ST
ROCK ISLAND, IL 61201
Rock Island County (309) 779-3006

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 Andrea Clark's NPI number?

The NPI number for Andrea Clark is 1215670369. It was assigned to this individual provider in the NPPES registry on April 17, 2022. The provider is also known as Ms. Andi Mae Clark.

Where is Andrea Clark located?

Andrea Clark practices at 2701 17th St, Rock Island, IL 61201. The listed phone number is (309) 779-2031.

What is Andrea Clark's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Andrea Clark was last updated on April 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.