P Praxis·MD
● Active Type 1 · Individual

Annette M Clark, LICSW

Social Worker·Bryan, TX· NPI 1366828477 · Enumerated 2015 · 10 years on NPI
Clark is 1 of 23 social worker providers in Bryan and 1 of 12911 in Texas.
NPI age
10 years
Enumerated 2015-07-31
Primary specialty
Social Worker
Plus 1 subspecialty
Licensed in
TX, MN
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-05-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 12911 active social worker providers in Texas.

NPI age
10 years
↑ 3 yr above median (7 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-07Enumerated in NPPES
2015 2026

Where they practice

Practice location
2900 E 29th St
Bryan, TX 778022622
📞 9797768400fax 8776015854
Mailing address
124 Elton Hills Ln Nw
Rochester, MN 559013577
📞 5072821009fax 5072820932

Specialties

  • Social Worker Primary
    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
    TX license #112234MN license #11843 taxonomy 1041C0700X

Practice context

Part of a multi-provider practice. 62 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new social worker provider has been added in Bryan in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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