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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jane Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upstate Cerebral Palsy, Inc.
0.4 mi
Mental Health (Including Community Mental Health Center)
1002 OSWEGO ST
Utica, NY 13502
  • Reassigned Medicare billing, New York enrollment
  • 67 clinicians in this Medicare group
NPI 1215098207 (315) 798-8868
Come To The Table Counseling Lcsw
30 mi
Clinical
40 MAIN ST LOWR
Camden, NY 13316
  • Reassigned Medicare billing, New York enrollment
  • 5 clinicians in this Medicare group
NPI 1093319576 (315) 335-9727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
1427 GENESEE ST
UTICA, NY 13501
Oneida County (315) 738-1428
KAYLA GRIPPE LMHC
Counselor (Mental Health)
1427 GENESEE ST
UTICA, NY 13501
Oneida County (315) 798-8868
ANN HAMLIN LMSW
Social Worker (Clinical)
1427 GENESEE ST
UTICA, NY 13501
Oneida County (315) 738-1428
DIANE FILIPKOWSKI RN
Registered Nurse (Psychiatric/Mental Health)
1427 GENESEE ST
UTICA, NY 13501
Oneida County (315) 798-8868
JEHANGIR KEKI KOTWAL MD
Psychiatry & Neurology (Psychiatry)
1427 GENESEE ST
UTICA, NY 13501
Oneida County (315) 738-1428
DR. VINAY JADHAV PATIL MD
Psychiatry & Neurology (Psychiatry)
1427 GENESEE ST
UTICA, NY 13501
Oneida County (315) 738-1428
JOSEPH MICHAEL CERIO LCSW
Counselor (Mental Health)
1427 GENESEE ST
UTICA, NY 13501
Oneida County (315) 724-6907
KELLY LEE MALECKI LPN
Licensed Practical Nurse
1427 GENESEE ST
UTICA, NY 13501
Oneida County (315) 798-8868

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 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.

Where is Jane Clark located?

Jane Clark practices at 1427 Genesee St, Utica, NY 13501. The listed phone number is (315) 738-1428.

What is Jane Clark's specialty?

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

Is Jane Clark enrolled in Medicare?

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

Which organizations bill Medicare for Jane Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jane Clark reassigns Medicare benefits to 2 organizations: Upstate Cerebral Palsy, Inc. (Utica, NY) and Come To The Table Counseling Lcsw (Camden, NY). Each 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 Jane Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.