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NPI · 1104196815 · NPPES-sourced

Kelli Clark

ActiveClinical Social Worker
NPI Number
1104196815
Type 1 · Individual
Taxonomy Code
1041C0700X
Contact
(315) 769-8441
License NY · R054044-1
Last Updated
Enumerated
Primary practice addressNY · 13662-1017
23 Maple StMassena, NY 13662-1017
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About this NPIWhat this record shows.

NPI 1104196815 is registered to Kelli Clark, a Clinical Social Worker practising at 23 Maple St in Massena, New York. Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Kelli Clark has been enumerated in the National Provider Identifier (NPI) registry since 2012.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Order and Referring Only

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Kelli Clark accepts. To confirm in-network status with your specific health plan, contact Kelli Clark directly at (315) 769-8441.

Frequently asked

Yes. NPI 1104196815 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (315) 769-8441.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Kelli Clark is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1041C0700X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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4 records · same addressOther providers at this location.

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Same specialtyOther Clinical Social Worker providers in New York.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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