NPI age
10 years
Enumerated 2016-03-25
● Active
Type 1 · Individual
MR. Brandon W. Clark, LCSW
Clark is 1 of 44 social worker providers in Lewiston and 1 of 2000 in Idaho.
Primary specialty
Social Worker
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-10-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2000 active social worker providers in Idaho.
NPI age
10 years
≈ at median (10 yr)
State licenses
2 states
Top 91% — 9% of peers are multi-state
Subspecialties
0
29% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-03Enumerated in NPPES
2016
2026
Where they practice
Practice location
0309 2nd St
Lewiston, ID 835012163
Mailing address
2140 13th St
Lewiston, ID 835013947
Specialties
-
Social Worker PrimaryA 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...
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new social worker provider has been added in Lewiston in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.