Provider Demographics
NPI:1437011582
Name:CLARK, HOPE ANN (LCSW)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:ANN
Last Name:CLARK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 UPPER TWIN ROCKS RD
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:CO
Mailing Address - Zip Code:80816
Mailing Address - Country:US
Mailing Address - Phone:615-653-0757
Mailing Address - Fax:
Practice Address - Street 1:1521 UPPER TWIN ROCKS RD
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:CO
Practice Address - Zip Code:80816
Practice Address - Country:US
Practice Address - Phone:615-653-0757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-26
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0305671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical