Justin Clarke, LCSW 128480

NPI #1679027452 in Atascadero, California

Provider Information

NPI Number: 1679027452
Entity Type: Individual
Name: Justin Clarke, LCSW 128480
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW 128480
Enumeration Date: Aug 9, 2016
Last Updated: Mar 5, 2025

Practice Location

Address: 5575 HOSPITAL DRIVE
City: Atascadero
State: California
ZIP Code: 93422
Phone: (805) 461-6113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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