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CRYSTAL DENISE CLARK
NPI 1548742141
Social Worker - Clinical in Los Angeles, CA

Active since August 30, 2018
840 N AVENUE 66, LOS ANGELES, CA 90042(310) 404-6112 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2022, Sep 10, 2021, Aug 30, 2018 (3 updates tracked since 2018).

About Crystal Denise Clark NPPES

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

CRYSTAL DENISE CLARK (NPI 1548742141) is an individual clinical provider in Los Angeles, California, licensed in California (LCSW102353) and active in the NPI registry since August 2018. She maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1548742141
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCRYSTAL DENISE CLARK
Location Address840 N AVENUE 66Los Angeles, CA 90042-1508
Mailing AddressPo Box 272Manhattan Beach, CA 90267-0272 · (310) 404-6112
Phone(310) 404-6112
Sole ProprietorYes
Enumeration DateAugust 30, 2018
Last NPPES UpdateNovember 28, 20233 updates tracked since enumeration
NPPES CertifiedNovember 28, 2023
✔ NPI 1548742141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW102353
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.
840 N AVENUE 66, Los Angeles, CA 90042
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Secondary Practice Location 1

Location 13850 S Crenshaw BlvdLos Angeles, CA 90008-9000 · Phone (323) 593-5300

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.

DR. JENNIE M. MATHESS PSY.D.
Psychologist (Clinical)
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
RUBY A GARCIA LPT
Licensed Psychiatric Technician
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
ALICIA GUERRA
Rehabilitation Practitioner
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
MS. ROMINA MONSERRAT TEJEDA LMFT
Marriage & Family Therapist
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
MARISSA LEE LUBAG
Peer Specialist
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
MAYRA MELGOZA
Social Worker (Clinical)
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
EVELYN AVILA
Social Worker
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
MALIYA GUERCY
Licensed Psychiatric Technician
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100

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 Crystal Clark's NPI number?

The NPI number for Crystal Clark is 1548742141. It was assigned to this individual provider in the NPPES registry on August 30, 2018.

Where is Crystal Clark located?

Crystal Clark practices at 840 N Avenue 66, Los Angeles, CA 90042. The listed phone number is (310) 404-6112.

What is Crystal 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 Crystal Clark was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.