Kenyetta Clark, LSW

NPI 1295642643 · on the registry since 2026 · sole proprietor

Practice

Address: 2115 Millburn Ave Ste 100
Maplewood, NJ 07040
Phone: (908) 308-4712
Organisation at this address: Alw Counseling Llc
Jeni Tyson Lcsw Llc
250 Highland Ave Llc
Dr. S.B. Bregman, Llc
Sri Medical Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 35

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-08-24

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 New Jersey