JENNIFER R CLARK (MSW, LCSW) – Clinical Social Worker, NPI 1770639734

JENNIFER R CLARK (MSW, LCSW) is a healthcare provider. based in Hood river, Oregon. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. They hold a License No. L3395 (OR). The NPI Number for JENNIFER R CLARK (MSW, LCSW) is 1770639734

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER R CLARK (MSW, LCSW)
NPI
1770639734
Phone
(541) 387-6138
Address
814 13TH ST
Enumeration Date
25 January 2007
Last Update Date
1 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
5414291064
Graduation Year
1995 (31 years ago)
PAC ID
1557403037
Professional Enrollment ID
I20100121000407
Address ID
OR970312036HO208XXSTXX301

Contacts

Secure Messaging
jclark300258@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,405 CLINICAL SOCIAL WORKER in OR

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Provider Addresses for JENNIFER R CLARK (MSW, LCSW)

  • 13th Street, Stranahan's Addition, Hood River, Hood River County, Oregon, 97031, United States

    HOOD RIVER, OR 970311210

    Phone: (541) 387-6138

    Type: Location

  • 830, Country Club Road, Hood River County, Oregon, 97031, United States

    HOOD RIVER, OR 970319734

    Phone: (541) 429-1064

    Type: Mailing

  • 208 STATE STREET

    HOOD RIVER, OR 970319734

    Phone: (541) 429-1064

    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: 2010-01-21

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
I20100121000407IClinical Social WorkerORTBD

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 97031)

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Reviews

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Frequently asked questions

Can I cross-check JENNIFER R CLARK (MSW, LCSW) using NPI 1770639734?
NPI 1770639734 belongs to JENNIFER R CLARK (MSW, LCSW); compare other details if you need extra assurance.
Would JENNIFER R CLARK (MSW, LCSW) appear as active to a payer?
You can treat JENNIFER R CLARK (MSW, LCSW) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JENNIFER R CLARK (MSW, LCSW)?
At a glance, JENNIFER R CLARK (MSW, LCSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Oregon is JENNIFER R CLARK (MSW, LCSW) registered?
Use Hood River, Oregon as the headline location for JENNIFER R CLARK (MSW, LCSW) here.
When was this NPI issued?
Enumeration for JENNIFER R CLARK (MSW, LCSW) is noted as January 25, 2007 where the registry provides it.

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