Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. John Lewis Clark, LICSW

Individual provider Clinical Social Worker · NPI 1285856559

Mr. John Lewis Clark, LICSW is a Clinical Social Worker in St Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1845 University Ave W
St Paul, MN 55104 Not confirmed with CMS for 19 years — call before visiting
Phone: (651) 644-2600
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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 · Licence 7084 (MN)

Record details

NPI number1285856559
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESJuly 8, 2007

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