Johanna Daniela Clark, LCSW
Social Worker, Clinical in Collingswood, NJ. Individual provider (NPI-1).
NPI number1508962408
StatusActive
Last updated in NPPESOct 1, 2025
Details
- NPI
- 1508962408
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Johanna Daniela Clark
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2006
- Certification date
- Oct 1, 2025
- Last updated
- Oct 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 093547 | NY | Yes |
| 1041C0700X | Social Worker, Clinical | CW015431 | PA |
Practice location
1107 Stokes AveCollingswood, NJ 08108-3307
Phone 856-617-1896
Mailing address
1107 Stokes AveCollingswood, NJ 08108-3307
Phone 856-617-1896
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All 18 Clinical Social Worker providers in Collingswood · All 289 providers in Collingswood
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