JANE MARIE CLARK LMSW
NPI 1124452537
Social Worker in Utica, NY

Q: What is Jane Clark's NPI number?

The NPI number for Jane Clark is 1124452537. It was assigned to this individual provider in the NPPES registry on August 22, 2013. The provider is also known as Jane Marie Shelnutt Lmsw.

Q: What is Jane Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jane Clark was last updated on April 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 22, 2013PECOS Enrolled

1427 GENESEE ST, UTICA, NY 13501(315) 738-1428(315) 733-7105 Get Directions Write a Review

NPPES record last updated: April 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jane Marie Clark Lmsw NPPES

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

JANE MARIE CLARK LMSW (NPI 1124452537) is an individual social worker in Utica, New York, licensed in New York (088842) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1124452537

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameJANE MARIE CLARKCredential: LMSW

Location Address1427 GENESEE STUtica, NY 13501-4343

Mailing Address1427 Genesee StUtica, NY 13501-4343 · (315) 738-1428 · Fax (315) 733-7105

Phone(315) 738-1428

Fax(315) 733-7105

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 22, 2013

Last NPPES UpdateApril 12, 2016

✔ NPI 1124452537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 088842

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.

1427 GENESEE ST, Utica, NY 13501

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Other Names 1

Former Name (1)Jane Marie Shelnutt Lmsw

Other Identifiers 1

Medicaid1215098207NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jane Marie Clark Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527320688

PECOS Enrollment IDI20180329002017

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.

KAREN G. DZIOK LCSW

Social Worker (Clinical)