Organization Active NPI

Katy Clark LMSW PLLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1225987175
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KATY CLARK LMSW PLLC
Practice address
310 Miller Ave Ste 147
Ann Arbor, MI 48103-3373
Phone
(734) 210-0116
Fax
(734) 590-2106
NPI assigned
Jan 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Catherine Clark, LMSWNPI 1033828744
Title
Owner
Phone
(734) 210-0116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

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

Mailing address

310 Miller Ave Ste 147
Ann Arbor, MI 48103-3373
Phone (734) 210-0116

National Provider Directory

National Provider Directory

Locations

310 Miller Ave
Ste 147
Ann Arbor, MI 48103
Phone (734) 210-0842

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1225987175",
    "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",
            "fax_number": "734-590-2106"
        },
        {
            "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": {
        "organization_name": "KATY CLARK LMSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-210-0116",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • 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.