NPI 1013159573

Dawn Clarke, LCSW

Practitioner Clinical Social Worker Jackson, MS

Practice location

Address: 1575 Carsley Rd, Jackson, MS 39209-9227
Phone: (601) 940-1818
Fax: (601) 376-2639

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence C2138 (MS)

Other Social Worker providers in Mississippi →

Registry record

NPI: 1013159573
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Mar 2009
Record last updated: 30 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.