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NICOLE ELIZABETH CLARK LMSW
NPI 1407697717
Social Worker in North Syracuse, NY

Active since June 03, 2024
7266 BUCKLEY RD, NORTH SYRACUSE, NY 13212(315) 458-0919(315) 458-0954 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 18, 2025, Jun 3, 2024 (2 updates tracked since 2024).

About Nicole Elizabeth Clark Lmsw NPPES

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

NICOLE ELIZABETH CLARK LMSW (NPI 1407697717) is an individual social worker in North Syracuse, New York, licensed in New York (123078) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1407697717
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameNICOLE ELIZABETH CLARKCredential: LMSW
Location Address7266 BUCKLEY RDNorth Syracuse, NY 13212-2649
Mailing Address8416b Shallowcreek RdLiverpool, NY 13090-1328 · (315) 885-0959
Phone(315) 458-0919
Fax(315) 458-0954
Sole ProprietorNo
Enumeration DateJune 3, 2024
Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1407697717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 123078
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.
7266 BUCKLEY RD, North Syracuse, NY 13212
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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.

HANDE MCDONALD LMSW
Social Worker
7266 BUCKLEY RD
NORTH SYRACUSE, NY 13212
Onondaga County (315) 458-0919
ROBIN ANN EATON-NOVAK MS, CASAC-T
Counselor (Addiction (Substance Use Disorder))
7266 BUCKLEY RD
N SYRACUSE, NY 13212
Onondaga County (315) 458-0919
MS. CATHLEEN ELIZABETH SHEA LMHC
Counselor (Mental Health)
7266 BUCKLEY RD
NORTH SYRACUSE, NY 13212
Onondaga County (315) 458-0919
HEIDI LEE RICHARDS CASAC
Counselor (Addiction (Substance Use Disorder))
7266 BUCKLEY RD
NORTH SYRACUSE, NY 13212
Onondaga County (315) 458-0919
MS. JUDITH MARIE LATHROP MS, LMFT
Marriage & Family Therapist
7266 BUCKLEY RD, BRIGHT PATH COUNSELING CENTER
NORTH SYRACUSE, NY 13212
Onondaga County (315) 458-0919
MS. SUSAN WAGNER FABIAN LCSW
Social Worker (Clinical)
7266 BUCKLEY RD
N SYRACUSE, NY 13212
Onondaga County (315) 458-0919
MS. ELLEN GERACE LMHC
Counselor (Addiction (Substance Use Disorder))
7266 BUCKLEY RD
SYRACUSE, NY 13212
Onondaga County (315) 458-0919
BRIGHT PATH CENTER, INC.
Social Worker
7266 BUCKLEY RD
NORTH SYRACUSE, NY 13212
Onondaga County (315) 458-0919

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 Nicole Clark's NPI number?

The NPI number for Nicole Clark is 1407697717. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Nicole Clark located?

Nicole Clark practices at 7266 Buckley Rd, North Syracuse, NY 13212. The listed phone number is (315) 458-0919.

What is Nicole 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 Nicole Clark was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.