Mary Clark, LICSW
Clinical Social Worker · Fridley, MN
Mary Clark, LICSW is a clinical social worker with a practice address in Fridley, Minnesota, and NPI 1659468437, issued on Oct 5, 2006. Check the license (Minnesota 17311, 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
- Mary Clark
- Credential
- LICSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 17311 MN
Self-reported in NPPES; status is on the state search - Practice location
- 6401 University Ave NE, Fridley, MN 55432
- Phone
- (651) 769-6250
- Enumerated
- Oct 5, 2006
- Entity
- Type 1 · individual
Also registered at 6401 University Ave NE
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Eric AbuClinical Social Worker1740821909
- John Bartels, PTPhysical Therapist1659674364
- Cecil Bassett, M.D.Obstetrics & Gynecology Physician1669433207
- Lisa Brown, RD,LD,CDERegistered Dietitian1902039548
- Charlette Carlotto, LICSWClinical Social Worker1043301062
- Gloria Dalle Poulos, NBC-HWC, FMCHC, CHESCommunity Health Worker1902430960
Verify Mary 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 17311Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
44 clinical social worker records list a Fridley practice address
They are 44 of the 945 NPPES records with a Fridley practice address, and 6,294 clinical social worker records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 44 in Fridley → All 6,294 in Minnesota → Every provider in Fridley →
Other clinical social worker records in Minnesota
- Sherry Aadland, LICSWMinneapolis, MN1740420355
- Jessica AamotMinneapolis, MN1295674877
- Lorene Aaron-Brass, LICSW, LMFTSaint James, MN1942213574
- Victoria Abbene, LICSWMinneapolis, MN1205379757
- Tammy Abbott, MSW LICSWMinneapolis, MN1164633525
- Jibril AbdiBurnsville, MN1053057497
- Layla Abdi, LICSWMinneapolis, MN1356899124
- Qamar AbdiMinneapolis, MN1922806652
- Saida Abdi, LICSWMinneapolis, MN1538440458
- Samira AbdilleMinneapolis, MN1225788151
Common questions
What is Mary Clark, LICSW's NPI number?
Mary Clark, LICSW's National Provider Identifier (NPI) is 1659468437, issued on Oct 5, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Mary Clark, LICSW located?
The NPPES record lists a practice address at 6401 University Ave NE, Fridley, MN, 55432. Phone: (651) 769-6250. Providers update this record themselves, so call before visiting.
How can I verify Mary Clark, LICSW's license?
NPPES lists Minnesota license number 17311, 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), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.