EDNA KATHLEEN CLARK LCSW
NPI 1164683272
Social Worker - Clinical in Knoxville, TN

Q: What is Edna Clark's NPI number?

The NPI number for Edna Clark is 1164683272. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Q: What is Edna 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 Edna Clark was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 June 20, 2008PECOS EnrolledAccepts Medicare Assignment

1415 OLD WEISGARBER RD STE 360, KNOXVILLE, TN 37909(865) 588-3173(865) 588-3174 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 8, 2026, Feb 11, 2022, Oct 11, 2021 and 1 more (4 updates tracked since 2021).

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About Edna Kathleen Clark Lcsw NPPES

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

EDNA KATHLEEN CLARK LCSW (NPI 1164683272) is an individual clinical provider in Knoxville, Tennessee, licensed in Tennessee (7829) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Powell, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1164683272

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameEDNA KATHLEEN CLARKCredential: LCSW

Location Address1415 OLD WEISGARBER RD STE 360Knoxville, TN 37909-1381

Mailing Address1415 Old Weisgarber Rd Ste 360Knoxville, TN 37909-1381 · (865) 588-3173 · Fax (865) 588-3174

Phone(865) 588-3173

Fax(865) 588-3174

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJune 20, 2008

Last NPPES UpdateJanuary 8, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1164683272 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 TN · 7829

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.

1415 OLD WEISGARBER RD STE 360, Knoxville, TN 37909

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Secondary Practice Location 1

Location 17744 Conner RdPowell, TN 37849-3509 · Phone (865) 546-9751 · Fax (833) 908-2167

Other Identifiers 1

Medicaid08258OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edna Kathleen Clark Lcsw 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 ID8325446826

PECOS Enrollment IDI20211014000599

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

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

Summit Medical Group, PLLC

0.3 mi

Internal Medicine

1275 DICK LONAS RD UNIT 101
Knoxville, TN 37909

Reassigned Medicare billing, Tennessee enrollment
1,003 clinicians in this Medicare group

NPI 1548349186 (865) 584-4747

Healthy Mind Counseling Services, Inc

0.8 mi

Clinical

6305 LONAS DR STE 101
Knoxville, TN 37909

Reassigned Medicare billing, Tennessee enrollment
161 clinicians in this Medicare group

NPI 1457409898 (865) 588-3173

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 37909 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 $52.64 – $160.89

Typical copayment $0.00 (range $13.16 – $40.22)

Most-billed visit code NA

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

HILARY S HAVERKAMP

Social Worker (Clinical)