Individual
MR. BRIAN THOMAS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W., C.A.S.A.C.
Contact information
Practice address
514 49TH ST, LMC SUNSET TERRACE, BROOKLYN, NY 11220-2010
(718) 437-5233
(718) 633-4256
Mailing address
5800 3RD AVE, MANAGED CARE DEPARTMENT, BROOKLYN, NY 11220-3702
(718) 630-7477
(718) 630-7437
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6617
NY
104100000X
Social Worker
Primary
038177
NY
Other
Enumeration date
12/13/2006
Last updated
09/11/2025
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