Catherine Clark, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801121516 Issued in MI

Practice address

310 Miller Ave Ste 147
Ann Arbor, MI 48103-3373

Phone

(734) 210-0116

Fax

(734) 590-2106

NPI assigned

Nov 21, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Katy Clark LMSW PLLC

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1225987175
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1033828744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MILLER AVE STE 147",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033373",
            "telephone_number": "734-210-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MILLER AVE STE 147",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033373",
            "telephone_number": "734-210-0116",
            "fax_number": "734-590-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CATHERINE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801121516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caryn Clark-Burton
• Alexander Thomas Clark, MD
• Anna Clark
• Ashley Meyers Clark, RD
• Bradyn Clark
• Cheyenne Lee Clark
• Christopher Clark Jr., RN
• Clifford Lee Clark, SWT
• Courtney Beth Clark, NP
• Devon Marie Clark, MD

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.