AMANDA LYNE CLARK MSW, LCSW-C
NPI 1144966714
Social Worker - Clinical in Bowie, MD

Active since May 06, 2022PECOS Enrolled
16701 MELFORD BLVD STE 400, BOWIE, MD 20715(415) 424-4266(415) 520-6633 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2024, May 6, 2022 (2 updates tracked since 2022).

About Amanda Lyne Clark Msw, Lcsw-c NPPES

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

AMANDA LYNE CLARK MSW, LCSW-C (NPI 1144966714) is an individual clinical provider in Bowie, Maryland, licensed in Maryland (21240) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1144966714
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA LYNE CLARKCredential: MSW, LCSW-C
Location Address16701 MELFORD BLVD STE 400Bowie, MD 20715-4411
Mailing Address8300 Esters Blvd Ste 900Irving, TX 75063-2233 · (415) 424-4266 · Fax (415) 520-6633
Fax(415) 520-6633
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 6, 2022
Last NPPES UpdateMay 14, 20242 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
NPI 1144966714 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 MD · 21240
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.
16701 MELFORD BLVD STE 400, Bowie, MD 20715

Other Names 1

Former Name (1)Amanda Lyne Jackson

Accepted 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)

Amanda Lyne Clark Msw, Lcsw-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749758290
PECOS Enrollment IDI20260504006578
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 20715 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 $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

Marriage & Family Therapist
16701 MELFORD BLVD STE 400
BOWIE, MD 20715
Counselor (Mental Health)
16701 MELFORD BLVD STE 400
BOWIE, MD 20715
Psychologist
16701 MELFORD BLVD STE 400
BOWIE, MD 20715
Counselor (Mental Health)
16701 MELFORD BLVD STE 400
BOWIE, MD 20715
Social Worker (Clinical)
16701 MELFORD BLVD STE 400
BOWIE, MD 20715
Counselor (Professional)
16701 MELFORD BLVD STE 400
BOWIE, MD 20715
Behavior Technician
16701 MELFORD BLVD STE 400
BOWIE, MD 20715
Nurse Practitioner (Family)
16701 MELFORD BLVD STE 400
BOWIE, MD 20715

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 Amanda Clark's NPI number?

The NPI number for Amanda Clark is 1144966714. It was assigned to this individual provider in the NPPES registry on May 6, 2022. The provider is also known as Amanda Lyne Jackson.

Where is Amanda Clark located?

Amanda Clark practices at 16701 Melford Blvd Ste 400, Bowie, MD 20715. The listed phone number is (415) 424-4266.

What is Amanda Clark's specialty?

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

Is Amanda Clark enrolled in Medicare?

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

What insurance does Amanda Clark accept?

Health plans from Blue Cross and Blue Shield of Texas and Providence Health Plan list Amanda 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 Amanda Clark was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.