Gregory D. Clark, MSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2973 Issued in ND

Legal business name

GREGORY D. CLARK, MSW, LLC

Practice address

118 Broadway N
Suite 810
Fargo, ND 58102-4949

Phone

(701) 799-8785

Fax

(701) 205-4930

NPI assigned

Jun 8, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Darwin Clark, MSW

Title

Clinical Social Worker

Phone

(701) 799-8785

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1144600800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BROADWAY N",
            "address_2": "SUITE 810",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024949",
            "telephone_number": "701-799-8785",
            "fax_number": "701-205-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 BROADWAY N",
            "address_2": "SUITE 810",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024949",
            "telephone_number": "701-799-8785",
            "fax_number": "701-205-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY D. CLARK, MSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DARWIN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "701-799-8785",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "2973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Wynn Greenley, BSW
• Emily Sue Greenstein, APRN, AGNP-C
• Beverly Jeanne Greenwald, FNP-BC NP-C
• Kari Greer, M.S., CCC-SLP
• Alli Ann Greff, DNAP, CRNA
• Liza Greminger
• Melinda T Gren, PT
• Christopher Grenz, MD
• Greg Grenz, PT
• Matthew Grenz

• Clinical Social Worker in Fargo, ND
• Providers in Fargo, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.