Timothy Clark, LICSW

Individual provider Social Worker · NPI 1538263801

Timothy Clark, LICSW is a Clinical Social Worker in West Barnstable, Massachusetts. Qualified in 1981, 45 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying: 45
Licensed in: MA
In the registry since: 2006

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 may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

1170 Main St Rt 6A
West Barnstable, MA 02665 Not confirmed with CMS for 19 years — call before visiting
Phone: (508) 737-2701
Fax: (508) 548-5789

No coordinates on file. Search this address in Google Maps

Specialties & licences

Social Worker (primary)	Taxonomy 104100000X · Licence 105406 (MA)

Record details

NPI number	1538263801
Entity type	Individual (Type 1)
Gender	Male
Credentials	LICSW
Sole proprietor	No
NPI enumerated	September 8, 2006
Last updated in NPPES	July 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	CLINICAL SOCIAL WORKER
Medical school	OTHER
Graduated	1981 (45 years in practice)
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Telehealth	Offers telehealth services