BONNIE CLARK LCSW-R
NPI 1770700130
Social Worker - Clinical in Corning, NY

Active since April 19, 2007
280 PRINCETON AVENUE EXT, CORNING, NY 14830(607) 962-3148(607) 962-8842 Get Directions Write a Review

NPPES record last updated: December 31, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bonnie Clark Lcsw-r NPPES

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

BONNIE CLARK LCSW-R (NPI 1770700130) is an individual clinical provider in Corning, New York, licensed in New York (RO68813) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1770700130
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBONNIE CLARKCredential: LCSW-R
Location Address280 PRINCETON AVENUE EXTCorning, NY 14830-1524
Mailing Address280 Princeton Avenue ExtCorning, NY 14830-1524 · (607) 962-3148 · Fax (607) 962-8842
Fax(607) 962-8842
Sole ProprietorNo
Enumeration DateApril 19, 2007
Last NPPES UpdateDecember 31, 2009
NPI 1770700130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in NY · RO68813 Licensed in PA · CW012420
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.
280 PRINCETON AVENUE EXT, Corning, NY 14830

Other Identifiers 1

Other160743189NY · Excellus Blue Cross Blue Shield

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.

Community/Behavioral Health
280 PRINCETON AVENUE EXT
CORNING, NY 14830
Counselor (Mental Health)
280 PRINCETON AVENUE EXT
CORNING, NY 14830
Social Worker
280 PRINCETON AVENUE EXT
CORNING, NY 14830
Social Worker
280 PRINCETON AVENUE EXT
CORNING, NY 14830
Counselor
280 PRINCETON AVENUE EXT
CORNING, NY 14830
Social Worker
280 PRINCETON AVENUE EXT
CORNING, NY 14830
Social Worker
280 PRINCETON AVENUE EXT
CORNING, NY 14830
Social Worker
280 PRINCETON AVENUE EXT
CORNING, NY 14830

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 Bonnie Clark's NPI number?

The NPI number for Bonnie Clark is 1770700130. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Bonnie Clark located?

Bonnie Clark practices at 280 Princeton Avenue Ext, Corning, NY 14830. The listed phone number is (607) 962-3148.

What is Bonnie 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 Bonnie Clark was last updated on December 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.