MR. CHRISTOPHER BRUCE CLARK (LCSW) – Clinical Social Worker, NPI 1609944693

MR. CHRISTOPHER BRUCE CLARK (LCSW) is a healthcare provider. based in Greenfield, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 8097 (WI). The NPI Number for MR. CHRISTOPHER BRUCE CLARK (LCSW) is 1609944693

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHRISTOPHER BRUCE CLARK (LCSW)
NPI
1609944693
Phone
(414) 427-5310
Address
4455 S 108TH ST
Enumeration Date
30 November 2006
Last Update Date
7 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
5092903401
Group Practice PAC ID
2668384371
Professional Enrollment ID
I20140102000510
Address ID
WI532282504GR4455XSTXX400

Contacts

FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
cclark102842@direct.myadvocateaurora.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,447 CLINICAL SOCIAL WORKER in WI

Provider Addresses for MR. CHRISTOPHER BRUCE CLARK (LCSW)

  • 4455 S 108TH ST

    GREENFIELD, WI 532282504

    Phone: (414) 427-5310

    Fax: (414) 427-5311

    Type: Mailing

  • 2424, South 90th Street, West Allis, Milwaukee County, Wisconsin, 53227, United States

    WEST ALLIS, WI 532272455

    Phone: (414) 329-5657

    Fax: (414) 329-5637

    Type: Mailing

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: 2014-01-02

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
I20140102000510IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour6814$0
90834Psychotherapy, 45 minutes6512$0
View full utilization report →

Insurance plans in this area (ZIP 53228)

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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: 2668384371View full group profile

Reviews

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Frequently asked questions

Does MR. CHRISTOPHER BRUCE CLARK (LCSW) have a public NPI I can cite?
Public records show MR. CHRISTOPHER BRUCE CLARK (LCSW) under NPI 1609944693.
Is MR. CHRISTOPHER BRUCE CLARK (LCSW)'s NPI status active today?
Active status means MR. CHRISTOPHER BRUCE CLARK (LCSW)'s NPI record is not deactivated in the public file.
What type of care does MR. CHRISTOPHER BRUCE CLARK (LCSW) provide?
MR. CHRISTOPHER BRUCE CLARK (LCSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Can patients visit MR. CHRISTOPHER BRUCE CLARK (LCSW) in Greenfield, Wisconsin?
For routing, start with Greenfield, Wisconsin for MR. CHRISTOPHER BRUCE CLARK (LCSW), then verify phone and hours locally.
Can I export MR. CHRISTOPHER BRUCE CLARK (LCSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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