Neal Aaron Clark, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

257398 Issued in KY

Practice address

4122 Shelbyville Rd Ste 120
Louisville, KY 40207-3206

Phone

(502) 289-6746

NPI assigned

Jul 30, 2019

Last updated

Mar 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Auxilium Psychological Services, LLC

  • Psychologist
  • New Albany, IN
  • NPI 1649787565
  NPD (past)

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1376197244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 FRONTIER TRL",
            "city": "GREENVILLE",
            "state": "IN",
            "postal_code": "471248616",
            "telephone_number": "502-356-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 SHELBYVILLE RD STE 120",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073206",
            "telephone_number": "502-289-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NEAL",
        "middle_name": "AARON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "neal.clark@lifespringhealthsystems.org",
            "affiliation": "N",
            "address_1": "2820 Grant Line Rd",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471502494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan B Clark
• Melanie Jo Clark, MSN, APRN
• Monica Kaye Clark, LPA
• Nancy S Clark, M.D.
• Natalie Marie Clark
• Olivia Clark
• Paul Clark, PT, DPT
• Paul Richard Clark, RN, PHD, MA, FAEN
• Ryan Clark, LCSW, LCADC
• Shamonda Lashea Clark, MSSW, CSW

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.