Active NPI
Dominique Clark, LMSW
- Social Worker
- Fort Worth, TX
National Provider Identifier
1952219537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 113302
- Practice address
- 2920 Oak Park Cir Ste 102
Fort Worth, TX 76109-1853 - Phone
- (682) 615-1980
- NPI assigned
- Sep 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 113302 | TX | Primary |
Addresses
Primary practice location
2920 Oak Park Cir Ste 102
Fort Worth, TX 76109-1853
Mailing address
2920 Oak Park Cir Ste 102
Fort Worth, TX 76109-1853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1952219537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 OAK PARK CIR STE 102",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761091853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 OAK PARK CIR STE 102",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761091853",
"telephone_number": "682-615-1980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "DOMINIQUE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "113302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.