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Individual
MRS. RENEKA CLARK
Active
Individual
MRS. RENEKA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-BACS
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11155
LA
1041C0700X
Clinical Social Worker
Primary
106054
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106054
TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL
TX
01
—
11155
LOUISIANA STATE BOARD OF SOCIAL WORK EXAMINERS
LA
05
—
1457979056
—
TX
Enumeration date
11/04/2015
Last updated
07/29/2026
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