Search › Arizona › 1041C0700X
Benjamin Clark, LCSW
NPI 1962231795 · on the registry since 2024
Practice
- Address
- 4525 N Central Ave
Phoenix, AZ 85012 - Phone
- (602) 764-7818
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041S0200X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona