MS. MARGARET S CLARKE LPC
NPI 1013132836
Counselor - Addiction (Substance Use Disorder) in New Providence, NJ
About Ms. Margaret S Clarke Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARGARET S CLARKE LPC (NPI 1013132836) is an individual addiction (substance use disorder) provider in New Providence, New Jersey, licensed in New Jersey (37PC001153200) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Margaret S Clarke Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Margaret Clarke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Berkeley Heights, NJ 07922
- Reassigned Medicare billing, New Jersey enrollment
- 1,184 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW PROVIDENCE, NJ 07974
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Margaret Clarke's NPI number?
The NPI number for Margaret Clarke is 1013132836. It was assigned to this individual provider in the NPPES registry on April 16, 2007.
Where is Margaret Clarke located?
Margaret Clarke practices at 890 Mountain Ave, New Providence, NJ 07974. The listed phone number is (908) 277-8900.
What is Margaret Clarke's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Margaret Clarke enrolled in Medicare?
Yes. Margaret Clarke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Margaret Clarke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Margaret Clarke reassigns Medicare benefits to Summit Medical Group PA (Berkeley Heights, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Margaret Clarke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Margaret Clarke accept?
Health plans from Oscar Health list Margaret Clarke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Margaret Clarke was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.