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CLIFFORD JOVAN CLARK LLMSW NPI 1649711615


NPI Information

NPI: 1649711615
Provider Name: CLIFFORD JOVAN CLARK, LLMSW
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
44070 W 12 MILE RD
SUITE 200
NOVI, MI
ZIP 48377
Phone: (248) 773-8440
Get Directions

Clifford Jovan Clark, LLMSW is a marriage family therapist in Novi, MI. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. Clifford Jovan Clark, LLMSW NPI is 1649711615. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

44070 W 12 MILE RD
SUITE 200
NOVI, MI
ZIP 48377-648
Phone: (248) 773-8440
Fax: (248) 773-8441

The enumeration date for this NPI number is 3/10/2017 and was last updated on 3/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health6801100714MICHIGANNo
2101YP1600XCounselorPastoral6801100714MICHIGANNo
3101YP2500XCounselorProfessional6801100714MICHIGANNo
41041C0700XSocial WorkerClinical6801100714MICHIGANNo
5106H00000XMarriage & Family Therapist6801100714MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.