Holly Diane Clark, LICSW
Clinical Social Worker · Minneapolis, MN
Holly Diane Clark, LICSW is a clinical social worker with a practice address in Minneapolis, Minnesota, and NPI 1649096702, issued on Nov 22, 2024. Check the license (Minnesota 23348, as entered in NPPES) with the Minnesota board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Holly Diane Clark
- Credential
- LICSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 23348 MN
Self-reported in NPPES; status is on the state search - Practice location
- 4826 Chicago Ave Ste 105, Minneapolis, MN 55417
- Phone
- (952) 201-5351
- Enumerated
- Nov 22, 2024
- Record last updated
- Sep 21, 2025
- Medicare enrollment
- Enrolled (PECOS I20251007002871); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 6,609 in Minnesota → Look up another NPI →
Also registered at 4826 Chicago Ave Ste 105
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Alice Brown, L.I.C.S.W.Clinical Social Worker1437541802
- Mikayla Clements, LICSWClinical Social Worker1013609130
- Joanna Johnson, LICSWClinical Social Worker1255982211
- Lydia Majors-Roland, LPCCProfessional Counselor1417484049
- Antoinette Schutta, L.P.Psychologist1528380268
Verify Holly Diane Clark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 23348Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Holly Diane Clark among 6,609 clinical social worker records in Minnesota
Holly Diane Clark, LICSW is one of 6,609 clinical social worker records with a practice address in Minnesota. 24% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2024, is newer than 82% of them.
- NPI issued2024 · 82% of these records are older, 12% newer
- In a Medicare fileNo · 24% of these records are
- In the CMS Doctors and Clinicians fileYes · 31% of these records are
- Graduated2018 · median 2014 among the 2,023 with a school on file
- Record last updated2025 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,464 clinical social worker records list a practice address in Minneapolis
They are 1,464 of the 22,918 NPPES records with a practice address in Minneapolis, and 6,609 clinical social worker records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 6,609 in Minnesota → Every provider in Minneapolis → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Amy Archer, L.I.C.S.W.Minneapolis, MN 554171801825112
- Lisa Barett, LICSWMinneapolis, MN 554171972541852
- Sarah Burrows, LICSWMinneapolis, MN 554171013963214
- Nancy Donovan, MSSWMinneapolis, MN 554171548214802
- Pamela Gerber, LICSWMinneapolis, MN 554171275577363
- Daniel GoedkenMinneapolis, MN 554171063455285
- Simone Hogan, LICSWMinneapolis, MN 554171568408409
- Nancy Mikulski, MSW, LICSWMinneapolis, MN 554171336194810
Common questions
What is Holly Diane Clark, LICSW's NPI number?
Holly Diane Clark, LICSW's National Provider Identifier (NPI) is 1649096702, issued on Nov 22, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Holly Diane Clark, LICSW located?
The NPPES record lists a practice address at 4826 Chicago Ave Ste 105, Minneapolis, MN, 55417. Phone: (952) 201-5351. Providers update this record themselves, so call before visiting.
How can I verify Holly Diane Clark, LICSW's license?
NPPES lists Minnesota license number 23348, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.