TIMOTHY CLARK (LICSW) – Social Worker, NPI 1538263801

TIMOTHY CLARK (LICSW) is a healthcare provider. based in West barnstable, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 105406 (MA). The NPI Number for TIMOTHY CLARK (LICSW) is 1538263801

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY CLARK (LICSW)
NPI
1538263801
Phone
(508) 737-2701
Address
1170 MAIN ST RT 6A
Enumeration Date
8 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
7315972312
Professional Enrollment ID
I20050928001010
Address ID
MA026680000WE1170XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for TIMOTHY CLARK (LICSW)

  • 1170 MAIN ST RT 6A

    WEST BARNSTABLE, MA 02665

    Phone: (508) 737-2701

    Fax: (508) 548-5789

    Type: Location

  • PO BOX 905

    FALMOUTH, MA 02541

    Phone: (508) 548-8989

    Fax: (508) 548-5789

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-28

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
I20050928001010IClinical Social WorkerMATBD

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
90834Psychotherapy, 45 minutes52622$0
View full utilization report →

Insurance plans in this area (ZIP 02665)

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Reviews

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Frequently asked questions

Is TIMOTHY CLARK (LICSW) listed with a National Provider Identifier?
Yes — TIMOTHY CLARK (LICSW) has NPI 1538263801 on file in the registry.
Is TIMOTHY CLARK (LICSW) shown as active in public data?
Registry records indicate TIMOTHY CLARK (LICSW) maintains an active NPI.
What clinical focus is listed for TIMOTHY CLARK (LICSW)?
At a glance, TIMOTHY CLARK (LICSW) is tied to Social Worker. Clinical services aligned with this taxonomy classification.
Is TIMOTHY CLARK (LICSW) associated with West Barnstable?
Public fields place TIMOTHY CLARK (LICSW) around West Barnstable, Massachusetts. Always confirm the exact site before visiting.
Does TIMOTHY CLARK (LICSW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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