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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: August 16, 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
Phone(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
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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.

DR. SUZANNE CRAFT PHD
Clinical Neuropsychologist
1660 S. COLUMBIAN WAY, GRECC S-182, VAPSHCS
SEATTLE, WA 98108
King County (206) 277-1156
CATHY H. DAHLE LICSW, ACSW
Social Worker (Clinical)
1660 S. COLUMBIAN WAY
SEATTLE, WA 98108
King County (206) 277-6866
BRUCE ALLEN WYLLIE ARNP
Nurse Practitioner (Family)
1660 S. COLUMBIAN WAY, VA PUGET SOUND HEALTH CARE SYSTEM
SEATTLE, WA 98108
King County (206) 764-2051
DR. MARGARET CAMPBELL HAMMOND M.D.
Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine)
1660 S. COLUMBIAN WAY, SCI 128NAT
SEATTLE, WA 98108
King County (206) 768-5401
DR. JOHN SAMUEL BAER PH.D.
Psychologist
1660 S. COLUMBIAN WAY, S-116-ATC, VA MEDICAL CENTER
SEATTLE, WA 98108
King County (206) 768-5224
DR. LUCY Y WANG M.D.
Psychiatry & Neurology (Geriatric Psychiatry)
1660 S. COLUMBIAN WAY, S-116-MHC
SEATTLE, WA 98108
King County (206) 277-5089
ALVARO JESUS LA ROSA M.D.
Psychiatry & Neurology (Psychosomatic Medicine)
1660 S. COLUMBIAN WAY, MAIL STOP: S-116-7W
SEATTLE, WA 98108
King County (206) 762-1010
DR. VINCENT SH-YEH FAN M.D.
Internal Medicine (Pulmonary Disease)
1660 S. COLUMBIAN WAY, VA PUGET SOUND HEALTH CARE SYSTEM
SEATTLE, WA 98108
King County (206) 764-2504

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 Justin Clark's NPI number?

The NPI number for Justin Clark is 1619458999. It was assigned to this individual provider in the NPPES registry on August 24, 2018.

Where is Justin Clark located?

Justin Clark practices at 1660 S. Columbian Way Mailstop: (s-116), Seattle, WA 98108. The listed phone number is (206) 764-2007.

What is Justin 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 Justin Clark was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.