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CHRISTINE M CLARK LCSW
NPI 1063046068
Social Worker - Clinical in Tuscaloosa, AL

Active since February 28, 2020PECOS Enrolled
38 SOUTHMONT DR, TUSCALOOSA, AL 35405(205) 614-0415 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Christine M Clark Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTINE M CLARK LCSW (NPI 1063046068) is an individual clinical provider in Tuscaloosa, Alabama, licensed in Alabama (1757C) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063046068
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHRISTINE M CLARKCredential: LCSW
Location Address38 SOUTHMONT DRTuscaloosa, AL 35405-4162
Mailing Address38 Southmont DrTuscaloosa, AL 35405-4162 · (205) 614-0415
Phone(205) 614-0415
Sole ProprietorNo
Enumeration DateFebruary 28, 2020
✔ NPI 1063046068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AL · 1757C
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
38 SOUTHMONT DR, Tuscaloosa, AL 35405
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christine M Clark Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.65 – $161.63
Typical copayment $0.00 (range $13.16 – $40.40)
Most-billed visit code NA
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALABAMA THERAPY CENTER, PC
Social Worker (Clinical)
38 SOUTHMONT DR
TUSCALOOSA, AL 35405
Tuscaloosa County (205) 614-0415

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 Christine Clark's NPI number?

The NPI number for Christine Clark is 1063046068. It was assigned to this individual provider in the NPPES registry on February 28, 2020.

Where is Christine Clark located?

Christine Clark practices at 38 Southmont Dr, Tuscaloosa, AL 35405. The listed phone number is (205) 614-0415.

What is Christine Clark's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Christine Clark enrolled in Medicare?

Yes. Christine Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christine Clark was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.