Brenda Clark
Social Worker, Clinical in Fredericksburg, VA. Individual provider (NPI-1).
NPI number1386582666
StatusActive
Last updated in NPPESMar 24, 2026
Details
- NPI
- 1386582666
- Entity type
- Individual (NPI-1)
- Name
- Brenda Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2026
- Certification date
- Mar 24, 2026
- Last updated
- Mar 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904020168 | VA | Yes |
Practice location
10715 Spotsylvania AveFredericksburg, VA 22408-2674
Phone 540-339-3640
Mailing address
10715 Spotsylvania AveFredericksburg, VA 22408-2674
Phone 540-339-3640
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