Clark, Johanna Daniela
Clark, Johanna Daniela is an individual health care provider with primary practice located at 1107 Stokes Ave , Collingswood NJ 08108-3307. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Johanna Daniela can be contacted via phone (856) 617-1896.Contact Information
Primary practice address
1107 Stokes Ave
Collingswood NJ 08108-3307
Phone: (856) 617-1896
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 093547 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW015431 | Pennsylvania |
Profile Details
| NPI number | 1508962408 |
|---|---|
| LBN Legal business name | Clark, Johanna Daniela |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Oct 1st, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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