MRS. JESSICA CLARK LCSW
NPI 1316542152
Social Worker - Clinical in Staten Island, NY

Active since December 01, 2020
3710 RICHMOND AVE, STATEN ISLAND, NY 10312(718) 967-0490 Get Directions Write a Review

NPPES record last updated: January 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 2, 2023, Dec 1, 2020 (2 updates tracked since 2020).

  • Individual
  • Female
  • Social Worker
  • Clinical

About JESSICA CLARK

This page provides the complete NPI Profile along with additional information for Jessica Clark, a provider established in Staten Island, New York with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1316542152 assigned on December 2020. The practitioner's primary taxonomy code is 1041C0700X with license number 094488 (NY). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1316542152 Verify this NPI
Provider Name
MRS. JESSICA CLARK LCSW
Gender
Female
Entity Type
Individual
Location Address
3710 RICHMOND AVE STATEN ISLAND, NY 10312
Location Phone
(718) 967-0490
Mailing Address
36 BEACON AVE STATEN ISLAND, NY 10306
Mailing Phone
(917) 697-3778
Is Sole Proprietor?
Yes
Enumeration Date
12-01-2020
Last Update Date
01-02-2023
Code Navigator

A clinical social worker like Jessica Clark is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
094488
License State
NY
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1104100000XBehavioral Health & Social Service Providers

Social Worker

101713 (NY)

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
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Dermatology
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Specialist
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Clinic/Center (Medical Specialty)
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Physical Therapist (Pediatrics)
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Clinic/Center (Physical Therapy)
3710 RICHMOND AVE
STATEN ISLAND, NY 10312
Social Worker
3710 RICHMOND AVE
STATEN ISLAND, NY 10312
Social Worker
3710 RICHMOND AVE
STATEN ISLAND, NY 10312
Counselor (Mental Health)
3710 RICHMOND AVE
STATEN ISLAND, NY 10312
Social Worker
3710 RICHMOND AVE
STATEN ISLAND, NY 10312
Social Worker
3710 RICHMOND AVE
STATEN ISLAND, NY 10312
Social Worker (Clinical)
3710 RICHMOND AVE
STATEN ISLAND, NY 10312
Social Worker (Clinical)
3710 RICHMOND AVE
STATEN ISLAND, NY 10312
Social Worker
3710 RICHMOND AVE
STATEN ISLAND, NY 10312
Counselor (Mental Health)
3710 RICHMOND AVE
STATEN ISLAND, NY 10312
Internal Medicine (Gastroenterology)
3710 RICHMOND AVE
STATEN ISLAND, NY 10312
Clinic/Center (Ambulatory Surgical)
3710 RICHMOND AVE
STATEN ISLAND, NY 10312
Clinic/Center (Adult Mental Health)
3710 RICHMOND AVE
STATEN ISLAND, NY 10312
Social Worker (Clinical)
3710 RICHMOND AVE
STATEN ISLAND, NY 10312
Clinic/Center (Infusion Therapy)
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316542152, enumerated as an "individual" on December 01, 2020.

The provider is located at 3710 RICHMOND AVE STATEN ISLAND, NY 10312 and the phone number is (718) 967-0490.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.