Faith Clark, MSW, LICSW, LADC
NPI 1194282160ActiveIndividual· Social Worker, Clinical· Two Harbors, MN
Social Worker, Clinical (MSW, LICSW, LADC) in Two Harbors, Minnesota, licensed in MN, with an NPI issued in February 2019.
Overview
| NPI | 1194282160 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LICSW, LADC |
| Sole proprietor | Yes |
| NPI issued | Feb 26, 2019 |
| Last updated in NPPES | Jan 31, 2022 |
| Certified by provider | Jan 31, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 18726 | MN |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 303205 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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