Provider Demographics
NPI:1073300877
Name:GIBB CLARK, RACHEL (MSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:GIBB CLARK
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 WINTHROP ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-1451
Mailing Address - Country:US
Mailing Address - Phone:347-235-9832
Mailing Address - Fax:347-235-9832
Practice Address - Street 1:1012 WINTHROP ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-1451
Practice Address - Country:US
Practice Address - Phone:347-235-9832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical