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MR. GREGORY D CLARK MSW
NPI 1689608952
Social Worker - Clinical in Fargo, ND

Active since July 10, 2006
118 BROADWAY N, STE 810, FARGO, ND 58102(701) 799-8785(701) 205-4930 Get Directions Write a Review

NPPES record last updated: March 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Gregory D Clark Msw NPPES

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

MR. GREGORY D CLARK MSW (NPI 1689608952) is an individual clinical provider in Fargo, North Dakota, licensed in North Dakota (LICSW 2973) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1689608952
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. GREGORY D CLARKCredential: MSW
Location Address118 BROADWAY N, STE 810Fargo, ND 58102-4949
Mailing Address118 Broadway N, Ste 810Fargo, ND 58102-4949 · (701) 799-8785 · Fax (701) 205-4930
Phone(701) 799-8785
Fax(701) 205-4930
Sole ProprietorYes
Enumeration DateJuly 10, 2006
Last NPPES UpdateMarch 25, 2016
✔ NPI 1689608952 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 ND · LICSW 2973
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.
118 BROADWAY N, Fargo, ND 58102
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Other Identifiers 3

Other03Q32CLMN · Bcbs Of Mn Pin
Medicare PINN15066ND
Other015066ND · Bcbs Of Nd Pin

Other Providers at the Same Location NPPES 3

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

MIDWEST HYPNOSIS CLINICS/NWCC
Clinic/Center
118 BROADWAY N, SUITE 205
FARGO, ND 58102
Cass County (701) 280-2672
GREGORY D. CLARK, MSW, LLC
Social Worker (Clinical)
118 BROADWAY N, SUITE 810
FARGO, ND 58102
Cass County (701) 799-8785
DR. STEVEN F. HUNDLEY PH.D.
Counselor (Professional)
118 BROADWAY N, SUITE 416
FARGO, ND 58102
Cass County (701) 212-1263

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 Gregory Clark's NPI number?

The NPI number for Gregory Clark is 1689608952. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Gregory Clark located?

Gregory Clark practices at 118 Broadway N Ste 810, Fargo, ND 58102. The listed phone number is (701) 799-8785.

What is Gregory 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 Gregory Clark was last updated on March 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.