P Praxis·MD
● Active Type 1 · Individual

MR. Jack Malcolm Clark III, LCSW

Social Worker·San Antonio, TX· NPI 1841311487 · Enumerated 2007 · 19 years on NPI
Clark is 1 of 1043 social worker providers in San Antonio and 1 of 12911 in Texas.
NPI age
19 years
Enumerated 2007-04-02
Primary specialty
Social Worker
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-05-24
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
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
7711 Madonna
San Antonio, TX 782166620
📞 2103771133fax 2103771230
Mailing address
Brooke Army Medical Center
Ft. Sam Houston, TX 782344504
📞 2109163704fax 2109168410

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 #36151 taxonomy 1041C0700X

Identifiers

TypeValueNotes
01 (TX) 87614Q CLARK BCBS
05 (TX) 175693402

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 40 new social worker providers have been added in San Antonio 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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