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PAUL EDWARD CLARK LCSW
NPI 1124594742
Social Worker - Clinical in Hampton, VA

Active since October 22, 2018PECOS Enrolled
100 EMANCIPATION DR, HAMPTON, VA 23667(757) 722-9961 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Paul Edward Clark Lcsw NPPES

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

PAUL EDWARD CLARK LCSW (NPI 1124594742) is an individual clinical provider in Hampton, Virginia, licensed in Virginia (0904010740) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124594742
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NamePAUL EDWARD CLARKCredential: LCSW
Location Address100 EMANCIPATION DRHampton, VA 23667-0001
Mailing Address132 Lighthouse DrPortsmouth, VA 23703-5473 · (757) 434-5211
Phone(757) 722-9961
Sole ProprietorNo
Enumeration DateOctober 22, 2018
✔ NPI 1124594742 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 VA · 0904010740
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.
100 EMANCIPATION DR, Hampton, VA 23667
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, UnitedHealthcare.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)

Paul Edward 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 23667 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 $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 20

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

MRS. ROSEMARIE TOWNSEND RN
Registered Nurse
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961
REBECCA MYERS
Social Worker (Clinical)
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-4034
NYEEMA DUHART
Pharmacy Technician
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (720) 416-0236
DR. SRIDHAR MADHUNAPANTULA MD
Internal Medicine
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961
MR. ANTHONY LYNN JONES RKT, CRC
Kinesiotherapist
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961
MRS. TASHIKO LYNN BRADSHAW BROADHEAD LMSW
Social Worker
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961
MISS TINA MARIA CROCCO LMSW
Social Worker (Clinical)
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 922-9961
TRISH TRAN
Family Medicine
100 EMANCIPATION DR
HAMPTON, VA 23667
Hampton City (757) 722-9961

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 Paul Clark's NPI number?

The NPI number for Paul Clark is 1124594742. It was assigned to this individual provider in the NPPES registry on October 22, 2018.

Where is Paul Clark located?

Paul Clark practices at 100 Emancipation Dr, Hampton, VA 23667. The listed phone number is (757) 722-9961.

What is Paul Clark's specialty?

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

Is Paul Clark enrolled in Medicare?

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

What insurance does Paul Clark accept?

Health plans from Oscar Health and UnitedHealthcare list Paul 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 Paul Clark was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.