MRS. KIM CLARK L.I.C.S.W.
NPI 1508074311
Social Worker - Clinical in South Royalton, VT

Active since May 18, 2007
226 LEONARD RD, SOUTH ROYALTON, VT 05068(802) 763-8773 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kim Clark L.i.c.s.w. NPPES

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

MRS. KIM CLARK L.I.C.S.W. (NPI 1508074311) is an individual clinical provider in South Royalton, Vermont, licensed in Vermont (0890000559) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1508074311
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KIM CLARKCredential: L.I.C.S.W.
Location Address226 LEONARD RDSouth Royalton, VT 05068-9565
Mailing Address226 Leonard RdSouth Royalton, VT 05068-9565 · (802) 763-8773
Sole ProprietorYes
Enumeration DateMay 18, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1508074311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in VT · 0890000559 Licensed in MA · 101057
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.
226 LEONARD RD, South Royalton, VT 05068

Other Identifiers 3

Medicare ID-Type UnspecifiedP01085MA · Medicare - Vt
MedicaidOVN2222VT
Medicare UPINCLVN2222VT

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 Kim Clark's NPI number?

The NPI number for Kim Clark is 1508074311. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Kim Clark located?

Kim Clark practices at 226 Leonard Rd, South Royalton, VT 05068. The listed phone number is (802) 763-8773.

What is Kim 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 Kim Clark was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.