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MR. DAVID BURTON CLARK JR. LSW
NPI 1164071338
Social Worker in Toledo, OH

Active since September 10, 2019PECOS EnrolledAccepts Medicare Assignment
3170 W CENTRAL AVE STE B, TOLEDO, OH 43606(567) 316-7353 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. David Burton Clark Jr. Lsw NPPES

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

MR. DAVID BURTON CLARK JR. LSW (NPI 1164071338) is an individual social worker in Toledo, Ohio and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2018).

NPPES Registry Identity

NPI1164071338
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. DAVID BURTON CLARK JR.Credential: LSW
Location Address3170 W CENTRAL AVE STE BToledo, OH 43606-2945
Mailing Address3170 W Central Ave Ste BToledo, OH 43606-2945
Phone(567) 316-7353
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2018
Enumeration DateSeptember 10, 2019
✔ NPI 1164071338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
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.
3170 W CENTRAL AVE STE B, Toledo, OH 43606
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. David Burton Clark Jr. Lsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163934100
PECOS Enrollment IDI20251104000591
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.

KARL WILLIS
Case Manager/Care Coordinator
3170 W CENTRAL AVE STE B
TOLEDO, OH 43606
Lucas County (567) 316-7253
JODI NICHOLE SNYDER
Counselor (Addiction (Substance Use Disorder))
3170 W CENTRAL AVE STE B
TOLEDO, OH 43606
Lucas County (419) 214-4316
IRA HENTHORNE QMHS
Case Manager/Care Coordinator
3170 W CENTRAL AVE STE B
TOLEDO, OH 43606
Lucas County (567) 316-7253
SAMANTHA MCFARLAND
Case Manager/Care Coordinator
3170 W CENTRAL AVE STE B
TOLEDO, OH 43606
Lucas County (567) 803-9706
DAVID ALLEN CDCA
Counselor (Addiction (Substance Use Disorder))
3170 W CENTRAL AVE STE B
TOLEDO, OH 43606
Lucas County (567) 316-7253
SHAQUYA CLARK QMHS
Case Manager/Care Coordinator
3170 W CENTRAL AVE STE B
TOLEDO, OH 43606
Lucas County (567) 316-7253
KAYLA MERRIWEATHER QMHS
Case Manager/Care Coordinator
3170 W CENTRAL AVE STE B
TOLEDO, OH 43606
Lucas County (567) 316-7253
IIZADOD GABRIEL
Case Manager/Care Coordinator
3170 W CENTRAL AVE STE B
TOLEDO, OH 43606
Lucas County (567) 316-7253

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 David Clark's NPI number?

The NPI number for David Clark is 1164071338. It was assigned to this individual provider in the NPPES registry on September 10, 2019.

Where is David Clark located?

David Clark practices at 3170 W Central Ave Ste B, Toledo, OH 43606. The listed phone number is (567) 316-7353.

What is David Clark's specialty?

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

Is David Clark enrolled in Medicare?

Yes. David Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list David 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 David Clark was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.