Search › Idaho › 1041C0700X
Charity Clark, LCSW
NPI 1205713849 · on the registry since 2025 · sole proprietor
Practice
- Address
- 560 S Woodruff Ave
Idaho Falls, ID 83401 - Phone
- (208) 881-2802
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho