Aliesha Yvonne Clark, DSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW025027 Issued in PA

Practice address

45 Granite Dr
East Earl, PA 17519-9487

Phone

(717) 543-3246

NPI assigned

Jan 23, 2019

Sex

Female

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

Practice roles

Locations

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

• The Dwelling Place Counseling LLC

  • Clinical Social Worker
  • East Earl, PA
  • NPI 1073335204
  NPD Authorized official

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1619431632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 E MAIN ST STE 800",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 GRANITE DR",
            "city": "EAST EARL",
            "state": "PA",
            "postal_code": "175199487",
            "telephone_number": "717-543-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALIESHA",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alionso Ahmir Avril
• Kimberly Blest, LPC
• Bethany Florence Brubaker, CPM
• Charles Patrick Burkhart, DC
• CNM Care
• Daniel T. West PC
• Viviana Lorraine Di Stefano
• Daniel Doyle, D.C.
• Krystal Lynn Hallman, PA-C

• Clinical Social Worker in East Earl, PA
• Providers in East Earl, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.