Ben Lee Clark Sr., DCSW-LCSW
Individual provider Active NPI Clinical Social Worker · Tamc, HI
NPI 1780656322 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1780656322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3192 (HI)
- Practice address
- 1 Jarrett White Rd
Tamc, HI 96859-5001 - Phone
- (808) 433-2780
- Fax
- (808) 433-1557
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3192 | HI | MD | Clinical Social Worker |
| 11221 | TX | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3192 | HI | Yes |
Addresses
Primary practice location
1 Jarrett White Rd
Tamc, HI 96859-5001
Mailing address
95-1031 Kanae St
Mililani, HI 96789-4205
Phone (808) 433-2780
Other providers in Tamc, HI
- Rosemarie Tumaneng Cachero
- Kenya K Cain
- Stephen Chan
- Ronald Francis Chicoine
- Gina Therese Cicero
- Coast Guard
- Mary Stone Connolly
- Glen Prives Corlin
- Miguel Angel Cruz
- John H Davis II
All providers in Tamc, HI · Clinical Social Worker in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.