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MARY BRADFORD CLARK LICSW
NPI 1659468437
Social Worker - Clinical in Fridley, MN

Active since October 05, 2006
6401 UNIVERSITY AVE NE, SUITE 304 BHSI LLC, FRIDLEY, MN 55432(651) 769-6250(651) 769-6299 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Bradford Clark Licsw NPPES

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

MARY BRADFORD CLARK LICSW (NPI 1659468437) is an individual clinical provider in Fridley, Minnesota, licensed in Minnesota (17311) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1659468437
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY BRADFORD CLARKCredential: LICSW
Location Address6401 UNIVERSITY AVE NE, SUITE 304 BHSI LLCFridley, MN 55432-4344
Mailing Address2497 7th Ave E, Suite 101 C/o Bhsi LlcNorth Saint Paul, MN 55109-2496 · (651) 769-6437 · Fax (651) 769-6426
Phone(651) 769-6250
Fax(651) 769-6299
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659468437 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 MN · 17311
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.
6401 UNIVERSITY AVE NE, Fridley, MN 55432
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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.

CHARLETTE KAY CARLOTTO LICSW
Social Worker (Clinical)
6401 UNIVERSITY AVE NE, SUITE 304
FRIDLEY, MN 55432
Anoka County (651) 769-6250
AMY MOORE RN CDE
Registered Nurse (Diabetes Educator)
6401 UNIVERSITY AVE NE, SUITE 100
FRIDLEY, MN 55432
Anoka County (763) 502-4877
MISS CHANTEL NOEL OLSON APRN, CNP, FNP-BC
Nurse Practitioner (Family)
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 586-5844
JOSHUA JAMES THOM MD
Otolaryngology
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 586-5923
FAIRVIEW EXPRESS CARE
Internal Medicine (Cardiovascular Disease)
6401 UNIVERSITY AVE NE, SECOND FLOOR
FRIDLEY, MN 55432
Anoka County (763) 502-6602
JUDITH M. NELSON RN, CNS
Clinical Nurse Specialist (Psychiatric/Mental Health)
6401 UNIVERSITY AVE NE, SUITE 304
FRIDLEY, MN 55432
Anoka County (651) 769-6250
LAURA SUE HENSON PSYD LP
Psychologist (Clinical)
6401 UNIVERSITY AVE NE, BHSI LLC SUITE 304
FRIDLEY, MN 55432
Anoka County (651) 769-6250
IAN J LALICH MD
Otolaryngology
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (612) 626-5900

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 Mary Clark's NPI number?

The NPI number for Mary Clark is 1659468437. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Mary Clark located?

Mary Clark practices at 6401 University Ave NE Suite 304 Bhsi LLC, Fridley, MN 55432. The listed phone number is (651) 769-6250.

What is Mary 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 Mary Clark was last updated on July 8, 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.