Ronald Austin Clark, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904000736 Issued in VA

Practice address

215 Loudoun St SE
Leesburg, VA 20175-3115

Phone

(703) 771-7555

Fax

(703) 771-7556

NPI assigned

Feb 14, 2007

Last updated

Jul 9, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508908427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17719 DEVEAU CT",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "20132",
            "telephone_number": "540-338-6940",
            "fax_number": "703-771-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LOUDOUN ST SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753115",
            "telephone_number": "703-771-7555",
            "fax_number": "703-771-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RONALD",
        "middle_name": "AUSTIN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Cich, LCSW
• Helen Cicirello
• Oana Cioabla, DDS
• Corrie Quin Clark, P.T.A.
• Kent Edward Clark, D.C.
• Esther Adom Clarke
• Clegg Chiropractic P C
• Bradley Calvin Clegg, DC
• Charles R. Clegg, D. C.
• Jacqueline McCann Cleland, PSY D

• Clinical Social Worker in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.