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

Q: 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.

Q: What is Amanda Clark's specialty?

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

Q: 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.

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: November 01, 2026.

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

On this page

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

Phone(415) 424-4266

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

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Other Names 1

Former Name (1)Amanda Lyne Jackson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Focus Point Solutions LLC

24 mi

Addiction (Substance Use Disorder)

828 GUILFORD AVE
Baltimore, MD 21202

Reassigned Medicare billing, Maryland enrollment
12 clinicians in this Medicare group

NPI 1477142495 (410) 276-2861

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

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.

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