BENJAMIN ALEX CLARK LCSW
NPI 1962231795
Social Worker - Clinical in Phoenix, AZ

Q: What is Benjamin Clark's NPI number?

The NPI number for Benjamin Clark is 1962231795. It was assigned to this individual provider in the NPPES registry on July 30, 2024.

Q: What is Benjamin 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 Benjamin Clark was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 July 30, 2024

4525 N CENTRAL AVE, PHOENIX, AZ 85012(602) 764-7818 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2025, Jul 30, 2024 (2 updates tracked since 2024).

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About Benjamin Alex Clark Lcsw NPPES

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

BENJAMIN ALEX CLARK LCSW (NPI 1962231795) is an individual clinical provider in Phoenix, Arizona, licensed in Arizona (LCSW-22348) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1962231795

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameBENJAMIN ALEX CLARKCredential: LCSW

Location Address4525 N CENTRAL AVEPhoenix, AZ 85012-1889

Mailing Address4637 N 9th StPhoenix, AZ 85014-3813 · (617) 309-0232

Phone(602) 764-7818

Sole ProprietorNo

Enumeration DateJuly 30, 2024

Last NPPES UpdateFebruary 5, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2025

✔ NPI 1962231795 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 AZ · LCSW-22348

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 ListedSocial Worker · SchoolTaxonomy 1041S0200X · License LCSW-22348 (AZ)

4525 N CENTRAL AVE, Phoenix, AZ 85012

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Other Providers at the Same Location NPPES 8

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

MS. BARBARA LYNN HADDEN LCSW

Social Worker (Clinical)