MR. JUSTIN BLAKE CLARK LICSW
NPI 1619458999
Social Worker - Clinical in Seattle, WA

Active since August 24, 2018
1660 S. COLUMBIAN WAY, MAILSTOP: (S-116), SEATTLE, WA 98108(206) 764-2007 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 5, 2022, Jul 28, 2021, Aug 24, 2018 (3 updates tracked since 2018).

About Mr. Justin Blake Clark Licsw NPPES

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

MR. JUSTIN BLAKE CLARK LICSW (NPI 1619458999) is an individual clinical provider in Seattle, Washington, licensed in Washington (61139465) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1619458999
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JUSTIN BLAKE CLARKCredential: LICSW
Location Address1660 S. COLUMBIAN WAY, MAILSTOP: (S-116)Seattle, WA 98108
Mailing Address1660 S. Columbian Way, Mailstop: (s-116)Seattle, WA 98108 · (206) 764-2007
Sole ProprietorNo
Enumeration DateAugust 24, 2018
Last NPPES UpdateAugust 5, 20223 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
NPI 1619458999 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 WA · 61139465
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.

1660 S. COLUMBIAN WAY, Seattle, WA 98108

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
1660 S. COLUMBIAN WAY, SURGICAL SERVICE 112-NS
SEATTLE, WA 98108
Social Worker (Clinical)
1660 S. COLUMBIAN WAY
SEATTLE, WA 98108
Radiology (Radiological Physics)
1660 S. COLUMBIAN WAY
SEATTLE, WA 98108
Physical Medicine & Rehabilitation
1660 S. COLUMBIAN WAY, S-117-RCS
SEATTLE, WA 98108
Clinical Neuropsychologist
1660 S. COLUMBIAN WAY, GRECC S-182, VAPSHCS
SEATTLE, WA 98108
Radiology (Vascular & Interventional Radiology)
1660 S. COLUMBIAN WAY, (113)
SEATTLE, WA 98108
Social Worker (Clinical)
1660 S. COLUMBIAN WAY, S-182-SW
SEATTLE, WA 98108
Physical Medicine & Rehabilitation
1660 S. COLUMBIAN WAY, S-117-RCS
SEATTLE, WA 98108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619458999, enumerated as an "individual" on August 24, 2018.

The provider is located at 1660 S. COLUMBIAN WAY MAILSTOP: (S-116) SEATTLE, WA 98108 and the phone number is (206) 764-2007.

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