BRADLEY W CLARK (LSCSW, LCAC) – Clinical Social Worker, NPI 1427383124

BRADLEY W CLARK (LSCSW, LCAC) is a healthcare provider. based in Wichita, Kansas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LSCSW, LCAC. The NPI Number for BRADLEY W CLARK (LSCSW, LCAC) is 1427383124

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY W CLARK (LSCSW, LCAC)
NPI
1427383124
Phone
(316) 634-4700
Address
9333 E 21ST ST N
Enumeration Date
14 October 2009
Last Update Date
22 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3166865195
Graduation Year
2009 (17 years ago)
PAC ID
1951547843
Group Practice PAC ID
1355240102
Professional Enrollment ID
I20130419000339
Address ID
KS672063919WI7829XSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:16State licenses:0Digital endpointsOther names

833 CLINICAL SOCIAL WORKER in KS

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Provider Addresses for BRADLEY W CLARK (LSCSW, LCAC)

  • East 21st Street North, Reed's Cove, The Hawthorne, Wichita, Sedgwick County, Kansas, 67228, United States

    WICHITA, KS 672062927

    Phone: (316) 634-4700

    Fax: (316) 634-4770

    Mailing address matches the actual address.

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: 2013-04-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130419000339IClinical Social WorkerKSTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour22823$0
View full utilization report →

Insurance plans in this area (ZIP 67206)

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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: 1355240102View full group profile
NameSpecialtyState
Clinical Social WorkerKS
Clinical PsychologistKS
-KS
Clinical Social WorkerKS

Reviews

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Frequently asked questions

Where can patients find BRADLEY W CLARK (LSCSW, LCAC)'s NPI?
You can confirm BRADLEY W CLARK (LSCSW, LCAC) with NPI 1427383124; it appears in the national provider directory.
Is BRADLEY W CLARK (LSCSW, LCAC) active in the national directory?
BRADLEY W CLARK (LSCSW, LCAC)'s public NPI profile is in an active state.
What field does BRADLEY W CLARK (LSCSW, LCAC) work in?
You can think of BRADLEY W CLARK (LSCSW, LCAC) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for BRADLEY W CLARK (LSCSW, LCAC)?
We surface Wichita, Kansas for BRADLEY W CLARK (LSCSW, LCAC) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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