Jewel Christina Clark, MSW

Individual provider Active NPI School Social Worker · Broadlands, VA

NPI 1093540965 · NPPES record last updated May 18, 2026

Key facts

NPI
1093540965
Entity type
Individual (NPI type 1)
Primary specialty
School Social Worker 1041S0200X
Practice address
21000 Education CT
Broadlands, VA 20148-5526
Phone
(571) 252-1000
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
George Mason University Past
since Sep 8, 2024
Accepting new patients
Loudoun County Public Schools Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X Yes

Addresses

Primary practice location

21000 Education CT
Broadlands, VA 20148-5526

Mailing address

41872 Rawnsley Dr
Ashburn, VA 20148-8040
Phone (571) 340-7665

Other providers in Broadlands, VA

All providers in Broadlands, VA · School Social Worker in Virginia

Sources for this page

Verify at the official NPI Registry.