Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Fredrick Clark

Social Worker in Fairburn, GA · enumerated 2019.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306490495

Verified

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Registry record

Entity type Individual (Type 1)

Name Fredrick Clark

Sex Male

Practice address Fairburn, GA, 30213

Phone (678) 543-2209

Enumeration date Jul 28, 2019

Last updated in NPPES Jul 28, 2019

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

104100000X Social Worker Behavioral Health & Social Service Providers Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Fredrick Clark practice?

The practice location on file with NPPES is in Fairburn, GA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Fredrick Clark?

The National Provider Identifier (NPI) for Fredrick Clark is 1306490495, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-07-28.