Ronald L Clark, MSW, CSW, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R053849 Issued in NY

Legal business name

RONALD L CLARK, MSW, CSW, PC

Practice address

106 W Utica St Ste G
Oswego, NY 13126-3059

Phone

(315) 326-0155

NPI assigned

May 10, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Ronald L Clark, LCSW-R

Title

Licensed Clinical Social Worker

Phone

(315) 326-0155

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1285123711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 E 8TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W UTICA ST STE G",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263059",
            "telephone_number": "315-326-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD L CLARK, MSW, CSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "315-326-0155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R053849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noreen Roffo, PT
• Lindsay Rollson
• Michele Romanowski, CCC-SLP
• Lucy Leone Rombough, LPN
• Brooke Ashley Romeo
• Vincent Rong
• Kristopher J Rookey, HIS
• Rosabel Rosabal
• Anna Rosbrook, MSPT
• Susan Rose, PTA

• Clinical Social Worker in Oswego, NY
• Providers in Oswego, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.