CYNTHIA MARIE CLARK LCSW
NPI 1295036895
Social Worker - Clinical in Manassas, VA

Q: What is Cynthia Clark's NPI number?

The NPI number for Cynthia Clark is 1295036895. It was assigned to this individual provider in the NPPES registry on November 12, 2010.

Q: What is Cynthia 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 Cynthia Clark was last updated on November 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since November 12, 2010

7969 ASHTON AVE, MANASSAS, VA 20109(703) 792-7800(703) 792-5699 Get Directions Write a Review

NPPES record last updated: November 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Cynthia Marie Clark Lcsw NPPES

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

CYNTHIA MARIE CLARK LCSW (NPI 1295036895) is an individual clinical provider in Manassas, Virginia, licensed in Virginia (0904007487) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1295036895

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCYNTHIA MARIE CLARKCredential: LCSW

Location Address7969 ASHTON AVEManassas, VA 20109-2885

Mailing Address7969 Ashton AveManassas, VA 20109-2885 · (703) 792-7800 · Fax (703) 792-5699

Phone(703) 792-7800

Fax(703) 792-5699

Sole ProprietorNo

Enumeration DateNovember 12, 2010

✔ NPI 1295036895 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 VA · 0904007487

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.

7969 ASHTON AVE, Manassas, VA 20109

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Other Identifiers 2

Medicaid004945247VA

OtherC02810VA · Medicare Group

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.

AMY MARIA NOJAIM MA,CCC,SLP

Speech-Language Pathologist