Active NPI
Brian Thomas Clark, L.C.S.W., C.A.S.A.C.
- Social Worker
- Brooklyn, NY
National Provider Identifier
1811058761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 038177
- Practice address
- 514 49TH St
LMC Sunset Terrace
Brooklyn, NY 11220-2010 - Phone
- (718) 437-5233
- Fax
- (718) 633-4256
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6617 | NY | |
| Social Worker | 104100000X | 038177 | NY | Primary |
Addresses
Primary practice location
514 49TH St
LMC Sunset Terrace
Brooklyn, NY 11220-2010
Mailing address
5800 3Rd Ave
Managed Care Department
Brooklyn, NY 11220-3702
Phone (718) 630-7477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6617 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 038177 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1811058761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 3RD AVE",
"address_2": "MANAGED CARE DEPARTMENT",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203702",
"telephone_number": "718-630-7477",
"fax_number": "718-630-7437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 49TH ST",
"address_2": "LMC SUNSET TERRACE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112202010",
"telephone_number": "718-437-5233",
"fax_number": "718-633-4256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "BRIAN",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "L.C.S.W., C.A.S.A.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "6617",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "038177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.