Individual
BROOKE A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
575 LYNNHAVEN PKWY STE 305, VIRGINIA BEACH, VA 23452-7350
(804) 207-6737
Mailing address
575 LYNNHAVEN PKWY STE 305, VIRGINIA BEACH, VA 23452-7350
(804) 207-6737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904019735
VA
1041C0700X
Clinical Social Worker
Primary
13370
SC
1041C0700X
Clinical Social Worker
—
NC
Other
Enumeration date
10/03/2017
Last updated
01/23/2026
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