AMY M CLARK (LCSW) – Clinical Social Worker, NPI 1497056311

AMY M CLARK (LCSW) is a healthcare provider. based in Tunkhannock, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CW018061 (PA). The NPI Number for AMY M CLARK (LCSW) is 1497056311

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
AMY M CLARK (LCSW)
NPI
1497056311
Phone
(570) 575-2468
Address
130 BRIDGE ST
Enumeration Date
9 November 2010
Last Update Date
23 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5705752468
Graduation Year
2009 (17 years ago)
PAC ID
6002032620
Professional Enrollment ID
I20140716002407
Address ID
PA186578064TU505XXHWYX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

2,438 CLINICAL SOCIAL WORKER in PA

Provider Addresses for AMY M CLARK (LCSW)

  • 130 BRIDGE ST

    TUNKHANNOCK, PA 186571354

    Phone: (570) 575-2468

    Fax: (570) 836-0660

    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: 2014-07-16

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
I20140716002407IClinical Social WorkerPATBD

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 hour23112$0
View full utilization report →

Insurance plans in this area (ZIP 18657)

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Reviews

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Frequently asked questions

What is the standard ID for AMY M CLARK (LCSW) in the U.S.?
In the U.S., AMY M CLARK (LCSW) is identified by NPI 1497056311.
Is AMY M CLARK (LCSW)'s NPI status active today?
Active status means AMY M CLARK (LCSW)'s NPI record is not deactivated in the public file.
How should patients interpret AMY M CLARK (LCSW)'s specialty?
The extract shows Clinical Social Worker for AMY M CLARK (LCSW). Clinical services aligned with this taxonomy classification.
What city is tied to AMY M CLARK (LCSW)?
The directory associates AMY M CLARK (LCSW) with Tunkhannock, Pennsylvania. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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