MRS. NICOLE LANE CLARK (LCSW) – Mental Health Counselor, NPI 1467893032
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,987 CLINICAL SOCIAL WORKER in CA
Provider Addresses for MRS. NICOLE LANE CLARK (LCSW)
43423 DIVISION ST
LANCASTER, CA 935354639
Phone: (661) 266-4783
Fax: (661) 266-1210
Type: Mailing
43423 Division St
Lancaster, CA 935354639
Phone: (661) 266-4783
Fax: (661) 266-1210
Type: Location
1005 MAGNOLIA AVE
REDDING, CA 960010314
Phone: (530) 209-5545
Type: Mailing
31292 ALPINE MEADOWS RD
SHINGLETOWN, CA 960889462
Phone: (530) 474-3390
Fax: (530) 474-1407
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-05-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250520004690 | I | Clinical Social Worker | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 93535)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NC | |
| C H I R O P R A C T I C | CA | |
| Family Practice, Emergency Medicine | CA | |
| Nurse Practitioner | MA | |
| Internal Medicine, Endocrinology | CA | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | CA | |
| - | CA | |
| Physician Assistant | CA | |
| R H E U M A T O L O G Y | CA |
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