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MRS. TERESA CLARK LCSW, QS
NPI 1699939686
Social Worker - Clinical in Hurlburt Field, FL

Active since July 18, 2008
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544(850) 884-2147 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Teresa Clark Lcsw, Qs NPPES

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

MRS. TERESA CLARK LCSW, QS (NPI 1699939686) is an individual clinical provider in Hurlburt Field, Florida, licensed in Florida (SW11830) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1699939686
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. TERESA CLARKCredential: LCSW, QS
Location Address113 LIELMANIS AVEHurlburt Field, FL 32544-5613
Mailing Address113 Lielmanis AveHurlburt Field, FL 32544-5613 · (850) 884-2147
Phone(850) 884-2147
Sole ProprietorYes
Enumeration DateJuly 18, 2008
Last NPPES UpdateDecember 26, 2023
NPPES CertifiedDecember 26, 2023
✔ NPI 1699939686 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 FL · SW11830
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.
113 LIELMANIS AVE, Hurlburt Field, FL 32544
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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.

JOSE ENCARNACION LUCIO
Technician, Other
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-5855
DR. DON VONGVIPHUT DO
General Practice
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-1020
DERICK MAYBERRY DDS
Dentist (Periodontics)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-2000
DR. ROBERT KESEAD JR. O.D.
Optometrist
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 883-3187
MS. DEBORAH K LANIUS MSN FNP
Nurse Practitioner (Family)
113 LIELMANIS AVE, 1 SOMDG
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-5221
WENDY S BORN CNP
Nurse Practitioner (Family)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 881-1257
BRITTON ADAMS IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 884-1206
MRS. LISA MCFARLAND IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Okaloosa County (850) 621-2865

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 Teresa Clark's NPI number?

The NPI number for Teresa Clark is 1699939686. It was assigned to this individual provider in the NPPES registry on July 18, 2008.

Where is Teresa Clark located?

Teresa Clark practices at 113 Lielmanis Ave, Hurlburt Field, FL 32544. The listed phone number is (850) 884-2147.

What is Teresa 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 Teresa Clark was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.