PATRICK JEREMIAH CLARK MSW
NPI 1235313388
Social Worker - Clinical in Waconia, MN

Active since December 26, 2007
540 E FIRST ST, WACONIA, MN 55387(952) 442-4437(952) 442-3084 Get Directions Write a Review

NPPES record last updated: December 26, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patrick Jeremiah Clark Msw NPPES

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

PATRICK JEREMIAH CLARK MSW (NPI 1235313388) is an individual clinical provider in Waconia, Minnesota, licensed in Minnesota (16872LICSW) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1235313388
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NamePATRICK JEREMIAH CLARKCredential: MSW
Location Address540 E FIRST STWaconia, MN 55387-1601
Mailing Address540 E First StWaconia, MN 55387-1601 · (952) 442-4437 · Fax (952) 442-2084
Fax(952) 442-3084
Sole ProprietorNo
Enumeration DateDecember 26, 2007
NPI 1235313388 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 MN · 16872LICSW
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.
540 E FIRST ST, Waconia, MN 55387

Other Identifiers 1

OtherHP84895MN · Health Partners

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 Patrick Clark's NPI number?

The NPI number for Patrick Clark is 1235313388. It was assigned to this individual provider in the NPPES registry on December 26, 2007.

Where is Patrick Clark located?

Patrick Clark practices at 540 E First St, Waconia, MN 55387. The listed phone number is (952) 442-4437.

What is Patrick 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 Patrick Clark was last updated on December 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.