JENNY ESTHER CLARK (MSW, LCSW) – Clinical Social Worker, NPI 1023531241

JENNY ESTHER CLARK (MSW, LCSW) is a healthcare provider. based in New brighton, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. They hold a License No. 130723-121 (WI). The NPI Number for JENNY ESTHER CLARK (MSW, LCSW) is 1023531241

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JENNY ESTHER CLARK (MSW, LCSW)
NPI
1023531241
Phone
(516) 289-5666
Address
1900 SILVER LAKE RD NW STE 110
Enumeration Date
19 July 2017
Last Update Date
28 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6087402001
Graduation Year
2017 (9 years ago)
PAC ID
8527413384
Group Practice PAC ID
1052729464
Professional Enrollment ID
I20231013001587
Address ID
WI537171958MA1001XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

1,446 CLINICAL SOCIAL WORKER in WI

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Provider Addresses for JENNY ESTHER CLARK (MSW, LCSW)

  • 1900 SILVER LAKE RD NW STE 110

    NEW BRIGHTON, MN 551121789

    Phone: (516) 289-5666

    Fax: (612) 628-0411

    Type: Mailing

  • 571, Braund Street, Onalaska, La Crosse County, Wisconsin, 54650, United States

    ONALASKA, WI 546508556

    Phone: (608) 785-7000

    Fax: (608) 785-7477

    Type: Location

  • 1001 FOURIER DR STE 200

    MADISON, WI 537171958

    Phone: (608) 740-2001

    Fax: (608) 740-2002

    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: 2023-10-13

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
I20231013001587IClinical Social WorkerWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55112)

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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: 1052729464View full group profile
NameSpecialtyState
Mental Health CounselorMN
Clinical Social WorkerMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorWI
Clinical Social WorkerWI
Mental Health CounselorWI
Mental Health CounselorMA

Reviews

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Frequently asked questions

Can I verify JENNY ESTHER CLARK (MSW, LCSW) with an NPI only?
You can start verification with NPI 1023531241 for JENNY ESTHER CLARK (MSW, LCSW), then check state licensing separately.
Does CMS list JENNY ESTHER CLARK (MSW, LCSW) as active?
Yes — JENNY ESTHER CLARK (MSW, LCSW) is active in the NPI listing used on this page.
What is JENNY ESTHER CLARK (MSW, LCSW)'s specialty?
The listing groups JENNY ESTHER CLARK (MSW, LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect JENNY ESTHER CLARK (MSW, LCSW) on a map?
Expect New Brighton, Minnesota as a primary anchor for JENNY ESTHER CLARK (MSW, LCSW) unless the record lists multiple sites.
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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