Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kelli Clark Licensed Clinical Social Worker Professional Corporation

Organization Clinical Social Worker · NPI 1376263319

Kelli Clark Licensed Clinical Social Worker Professional Corporation provides Clinical Social Worker services in San Francisco, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3150 18th St Ste 350
San Francisco, CA 94110-2077
Phone: (415) 562-4156
Fax: (415) 952-9565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1376263319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julio Lagos — Operations · (415) 562-4156
Other names Kelli Clark, Lcsw, Pc
NPI enumeratedAugust 30, 2022
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022
Mailing address3150 18th St Ste 350, Mailbox#202, San Francisco, CA 94110-2075

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