COURTNEY CLARK – Clinical Social Worker, NPI 1265978712
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,821 CLINICAL SOCIAL WORKER in MI
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Provider Addresses for COURTNEY CLARK
2100 HEMMETER RD
SAGINAW, MI 486033944
Phone: (989) 799-2100
Type: Mailing
105, Hall Street, Traverse City, Grand Traverse County, Michigan, 49684, United States
TRAVERSE CITY, MI 496842288
Phone:
Type: Mailing
527, Cobb Street, Cadillac, Wexford County, Michigan, 49601, United States
CADILLAC, MI 496012540
Phone: (231) 775-3463
Type: Location
527 Cobb St
Cadillac, MI 496012540
Phone: (231) 775-3463
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: 2021-08-10
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 |
|---|---|---|---|---|
| I20210810002703 | I | Clinical Social Worker | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 78 | 13 | $0 |
Insurance plans in this area (ZIP 48603)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Clinical Social Worker | MI | |
| Physician Assistant | MI | |
| Clinical Social Worker | MI | |
| - | MI | |
| Clinical Social Worker | MI | |
| Mental Health Counselor | MI | |
| Mental Health Counselor | MI | |
| - | MI | |
| - | MI |
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