KERI CLARK (LISW) – Clinical Social Worker, NPI 1376624650

KERI CLARK (LISW) is a healthcare provider. based in Johnston, Iowa. specializing in Clinical Social Worker. They hold the professional credentials LISW. They hold a License No. 05867 (IA). The NPI Number for KERI CLARK (LISW) is 1376624650

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
KERI CLARK (LISW)
NPI
1376624650
Phone
(515) 316-9720
Address
6165 NW 86TH ST STE 200
Enumeration Date
17 October 2006
Last Update Date
23 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5152412440
Graduation Year
2000 (26 years ago)
PAC ID
1254632953
Group Practice PAC ID
1052229275
Professional Enrollment ID
I20151223000087
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for KERI CLARK (LISW)

  • 6165 NW 86TH ST STE 200

    JOHNSTON, IA 501312270

    Phone: (515) 316-9720

    Type: Location

  • 6165, Northwest 86th Street, Birchwood Crossing, Johnston, Polk County, Iowa, 50131, United States

    JOHNSTON, IA 501312270

    Phone: (515) 316-9720

    Type: Mailing

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 50131)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052229275View full group profile
NameSpecialtyState
Infectious Disease, Internal MedicineIA
Emergency MedicineIA
-IA
-IA
Cardiovascular Disease (Cardiology), Internal MedicineIA
-IA
Nurse PractitionerIA
-IA
-IA
Nurse PractitionerIA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KERI CLARK (LISW)?
KERI CLARK (LISW) — NPI 1376624650 — is the standard way to identify this listing.
Can I rely on KERI CLARK (LISW) being an active provider?
As of the registry snapshot, KERI CLARK (LISW) is marked active.
What healthcare role does KERI CLARK (LISW) hold?
Scheduling teams often label KERI CLARK (LISW) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is KERI CLARK (LISW) based?
KERI CLARK (LISW) is tied to Johnston, Iowa in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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