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KEVIN CLARK
NPI 1104255546
Social Worker in East Orange, NJ

Active since November 06, 2013PECOS Enrolled
385 TREMONT AVE, EAST ORANGE, NJ 07018(973) 676-1000 Get Directions Write a Review

NPPES record last updated: November 6, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin Clark NPPES

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

KEVIN CLARK (NPI 1104255546) is an individual social worker in East Orange, New Jersey and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104255546
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameKEVIN CLARK
Location Address385 TREMONT AVEEast Orange, NJ 07018-1023
Mailing Address385 Tremont AveEast Orange, NJ 07018-1023 · (973) 676-1000
Phone(973) 676-1000
Sole ProprietorNo
Enumeration DateNovember 6, 2013
✔ NPI 1104255546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
385 TREMONT AVE, East Orange, NJ 07018
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Clark 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.

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.

MRS. GWENDOLYN CARMEL RVT
Specialist/Technologist Cardiovascular (Vascular Specialist)
385 TREMONT AVE, 112
EAST ORANGE, NJ 07018
Essex County (973) 676-1000
EBONY MARIE HAWKES LPN
Licensed Practical Nurse
385 TREMONT AVE
EAST ORANGE, NJ 07018
Essex County (973) 676-1000
KATHLEEN HODGKISS PHD
Psychologist (Clinical)
385 TREMONT AVE
EAST ORANGE, NJ 07018
Essex County (973) 676-1000
MISS HANA MICHELE BARON NP, RN
Nurse Practitioner (Family)
385 TREMONT AVE
EAST ORANGE, NJ 07018
Essex County (973) 676-1000
MRS. CARLA FRANCIS APN
Nurse Practitioner (Adult Health)
385 TREMONT AVE
EAST ORANGE, NJ 07018
Essex County (973) 676-1000
DR. BINCY J PETER
Pharmacist
385 TREMONT AVE
EAST ORANGE, NJ 07018
Essex County (973) 676-1000
LINDA A WOLF PA-C
Physician Assistant (Surgical)
385 TREMONT AVE
EAST ORANGE, NJ 07018
Essex County (973) 676-1000
EAST ORANGE VAMC
Department of Veterans Affairs (VA) Pharmacy
385 TREMONT AVE
EAST ORANGE, NJ 07018
Essex County (973) 676-1000

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 Kevin Clark's NPI number?

The NPI number for Kevin Clark is 1104255546. It was assigned to this individual provider in the NPPES registry on November 6, 2013.

Where is Kevin Clark located?

Kevin Clark practices at 385 Tremont Ave, East Orange, NJ 07018. The listed phone number is (973) 676-1000.

What is Kevin Clark's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kevin Clark enrolled in Medicare?

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

What insurance does Kevin Clark accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Kevin Clark 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 Kevin Clark was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.