MARQUETTA CLARK – Social Worker, NPI 1205417052

MARQUETTA CLARK is a healthcare provider. based in Plano, Texas. specializing in CLINICAL SOCIAL WORKER. The NPI Number for MARQUETTA CLARK is 1205417052

Main info

Female
46 Years Of Experience
Accepts Medicare Assignment
Name
MARQUETTA CLARK
NPI
1205417052
Phone
(972) 733-7242
Address
1820 PRESTON PARK BLVD STE 2500
Enumeration Date
14 April 2021
Last Update Date
14 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9727337242
Graduation Year
1980 (46 years ago)
PAC ID
2567867591
Group Practice PAC ID
9739124561
Professional Enrollment ID
I20210830000023
Address ID
TX750245991PL6839XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

2,555 CLINICAL SOCIAL WORKER in TX

Provider Addresses for MARQUETTA CLARK

  • 1820 PRESTON PARK BLVD STE 2500

    PLANO, TX 750933674

    Phone: (972) 733-7242

    Type: Mailing

  • 6839 COMMUNICATIONS PKWY

    PLANO, TX 750245991

    Phone: (972) 733-7242

    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: 2021-08-30

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
I20210830000023IClinical Social WorkerTXTBD

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
90791Psychiatric diagnostic evaluation2525$0
90839Psychotherapy for crisis, first hour1111$0
View full utilization report →

Insurance plans in this area (ZIP 75093)

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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: 9739124561View full group profile
NameSpecialtyState
-TX
P S Y C H I A T R YTX
Mental Health CounselorTX
-TX
Psychiatry, NeurologyTX
Mental Health CounselorTX
Mental Health CounselorTX
P S Y C H I A T R YTX
Mental Health CounselorTX
Clinical Social WorkerTX

Reviews

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Frequently asked questions

Does MARQUETTA CLARK share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARQUETTA CLARK uses 1205417052.
Does CMS list MARQUETTA CLARK as active?
Yes — MARQUETTA CLARK is active in the NPI listing used on this page.
What is MARQUETTA CLARK's primary classification?
Social Worker is the headline specialty for MARQUETTA CLARK here. Clinical services aligned with this taxonomy classification.
What address line appears for MARQUETTA CLARK?
MARQUETTA CLARK's geographic hint is Plano, Texas in our summary view.
Is the information about MARQUETTA CLARK up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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