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ANDREA CLARK LCSW LLC
NPI 1700660412
Social Worker - Clinical in Fort Wayne, IN

Active since August 23, 2023
1530 VANCE AVE, FORT WAYNE, IN 46805(260) 200-3988 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2025, Aug 23, 2023 (2 updates tracked since 2023).

About Andrea Clark Lcsw Llc NPPES

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

ANDREA CLARK LCSW LLC (NPI 1700660412) is a healthcare organization registered as a clinical in Fort Wayne, Indiana and active in the NPI registry since August 2023. The organization lists Andrea Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1700660412
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameANDREA CLARK LCSW LLC
Location Address1530 VANCE AVEFort Wayne, IN 46805-2246
Mailing Address1530 Vance AveFort Wayne, IN 46805-2246 · (260) 200-3988
Phone(260) 200-3988
Organization SubpartNo
Authorized OfficialAndrea ClarkOwner · (260) 200-3988
Enumeration DateAugust 23, 2023
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1700660412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1530 VANCE AVE, Fort Wayne, IN 46805
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ANDREA CLARK
Social Worker (Clinical)
1530 VANCE AVE
FORT WAYNE, IN 46805
Allen County (260) 200-3988

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 Andrea Clark Lcsw LLC's NPI number?

The NPI number for Andrea Clark Lcsw LLC is 1700660412. It was assigned to this organization in the NPPES registry on August 23, 2023.

Where is Andrea Clark Lcsw LLC located?

Andrea Clark Lcsw LLC is located at 1530 Vance Ave, Fort Wayne, IN 46805. The listed phone number is (260) 200-3988.

What is Andrea Clark Lcsw LLC'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 Andrea Clark Lcsw LLC was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.