MRS. CAITLIN JADE CLARK PTA
NPI 1699255570
Social Worker - Clinical in Goliad, TX

Q: What is Caitlin Clark's NPI number?

The NPI number for Caitlin Clark is 1699255570. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Q: What is Caitlin Clark's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Caitlin Clark was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since August 20, 2018

225 E WARD ST, GOLIAD, TX 77963(361) 645-8902(361) 645-8689 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Caitlin Jade Clark Pta NPPES

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

MRS. CAITLIN JADE CLARK PTA (NPI 1699255570) is an individual clinical provider in Goliad, Texas, licensed in Texas (109586) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1699255570

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. CAITLIN JADE CLARKCredential: PTA

Location Address225 E WARD STGoliad, TX 77963-4006

Mailing Address301 Wood BridgeVictoria, TX 77904 · (361) 649-5979

Phone(361) 645-8902

Fax(361) 645-8689

Sole ProprietorNo

Enumeration DateAugust 20, 2018

Last NPPES UpdateJuly 29, 2025

NPPES CertifiedJuly 29, 2025

✔ NPI 1699255570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in TX · 109586

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.

Also ListedPhysical Therapy AssistantTaxonomy 225200000X · License 2096023 (TX)

225 E WARD ST, Goliad, TX 77963

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 10

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

DYLAN FANELLI RIEDESEL DPT

Physical Therapist