1. Home
  2. Directory
  3. New Jersey
  4. Maplewood
  5. Social Worker
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KENYETTA CLARK LSW
NPI 1295642643
Social Worker - Clinical in Maplewood, NJ

Active since August 24, 2026
2115 MILLBURN AVE STE 100, MAPLEWOOD, NJ 07040(908) 308-4712 Get Directions Write a Review

NPPES record added: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kenyetta Clark Lsw NPPES

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

KENYETTA CLARK LSW (NPI 1295642643) is an individual clinical provider in Maplewood, New Jersey and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1295642643
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENYETTA CLARKCredential: LSW
Location Address2115 MILLBURN AVE STE 100Maplewood, NJ 07040-3724
Mailing Address2115 Millburn Ave Ste 100Maplewood, NJ 07040-3724 · (908) 308-4712
Phone(908) 308-4712
Sole ProprietorYes
Enumeration DateAugust 24, 2026
NPPES CertifiedAugust 24, 2026
✔ NPI 1295642643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
2115 MILLBURN AVE STE 100, Maplewood, NJ 07040
Open in Google Maps ↗

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYVON EVANS
Clinical Medical Laboratory
2115 MILLBURN AVE STE 100
MAPLEWOOD, NJ 07040
Essex County (862) 230-5469
NIAMA MORRISON MSW
Social Worker
2115 MILLBURN AVE STE 100
MAPLEWOOD, NJ 07040
Essex County (908) 308-4712
DR. SHERON D. JEFFERSON ED.D.
Day Training/Habilitation Specialist
2115 MILLBURN AVE STE 100
MAPLEWOOD, NJ 07040
Essex County (908) 900-9094
ANGELICA EASON-WHITE LPC
Counselor (Professional)
2115 MILLBURN AVE STE 100
MAPLEWOOD, NJ 07040
Essex County (973) 558-0752
GLENN BEHAVIORAL HEALTH SERVICES LLC
Psychiatry & Neurology (Psychiatry)
2115 MILLBURN AVE STE 100
MAPLEWOOD, NJ 07040
Essex County (908) 409-1965
MR. DREW MCNEILL JOHNSON MSW. LCSW
Social Worker (Clinical)
2115 MILLBURN AVE STE 100
MAPLEWOOD, NJ 07040
Essex County (917) 568-7524
BRIDGING INCLUSIVE CONNECTIONS, LLC
Day Training, Developmentally Disabled Services
2115 MILLBURN AVE STE 100
MAPLEWOOD, NJ 07040
Essex County (908) 900-9094
MS. CHRISTINE LESLEY- ANN BROWN LCSW
Social Worker (Clinical)
2115 MILLBURN AVE STE 100
MAPLEWOOD, NJ 07040
Essex County (862) 279-4117

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 Kenyetta Clark's NPI number?

The NPI number for Kenyetta Clark is 1295642643. It was assigned to this individual provider in the NPPES registry on August 24, 2026.

Where is Kenyetta Clark located?

Kenyetta Clark practices at 2115 Millburn Ave Ste 100, Maplewood, NJ 07040. The listed phone number is (908) 308-4712.

What is Kenyetta 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 Kenyetta Clark was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.