1. Home
  2. Directory
  3. Georgia
  4. Fairburn
  5. Social Worker
  6. NPI Profile

FREDRICK CLARK
NPI 1306490495
Social Worker in Fairburn, GA

Active since July 28, 2019
205 CRUSADER PL, FAIRBURN, GA 30213(678) 543-2209 Get Directions Write a Review

NPPES record last updated: July 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fredrick Clark NPPES

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

FREDRICK CLARK (NPI 1306490495) is an individual social worker in Fairburn, Georgia and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1306490495
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameFREDRICK CLARK
Location Address205 CRUSADER PLFairburn, GA 30213-4339
Mailing Address205 Crusader PlFairburn, GA 30213-4339 · (678) 543-2209
Phone(678) 543-2209
Sole ProprietorYes
Enumeration DateJuly 28, 2019
✔ NPI 1306490495 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.
205 CRUSADER PL, Fairburn, GA 30213
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Fredrick Clark's NPI number?

The NPI number for Fredrick Clark is 1306490495. It was assigned to this individual provider in the NPPES registry on July 28, 2019.

Where is Fredrick Clark located?

Fredrick Clark practices at 205 Crusader Pl, Fairburn, GA 30213. The listed phone number is (678) 543-2209.

What is Fredrick 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 Fredrick Clark was last updated on July 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.