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REBECCA CLARK LCSW
NPI 1174606776
Social Worker - Clinical in Erie, PA

Active since October 24, 2006PECOS Enrolled
2910 STATE ST, ERIE, PA 16508(814) 454-5686(814) 454-8946 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rebecca Clark Lcsw NPPES

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

REBECCA CLARK LCSW (NPI 1174606776) is an individual clinical provider in Erie, Pennsylvania, licensed in Pennsylvania (CW017348) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174606776
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameREBECCA CLARKCredential: LCSW
Location Address2910 STATE STErie, PA 16508-1832
Mailing Address2185 W 8th StErie, PA 16505-4747 · (814) 878-3433 · Fax (814) 878-3488
Phone(814) 454-5686
Fax(814) 454-8946
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateSeptember 20, 2021
NPPES CertifiedSeptember 20, 2021
✔ NPI 1174606776 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 PA · CW017348
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.
2910 STATE ST, Erie, PA 16508
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca 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 16508 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 $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

STAIRWAYS BEHAVIORAL HEALTH
Clinic/Center
2910 STATE ST
ERIE, PA 16508
Erie County (814) 454-5686
MAUREEN WALDMAN M.S.N.
Counselor (Mental Health)
2910 STATE ST
ERIE, PA 16508
Erie County (814) 464-8311
CHRISTINA CORNELL M.A.
Counselor (Mental Health)
2910 STATE ST
ERIE, PA 16508
Erie County (814) 464-8311
JILL SEUS M.A.
Counselor (Mental Health)
2910 STATE ST
ERIE, PA 16508
Erie County (814) 464-8311
KEVIN BERCELI LPC
Counselor (Professional)
2910 STATE ST
ERIE, PA 16508
Erie County (814) 453-5806
KAYLA GALLAGHER
Counselor (Mental Health)
2910 STATE ST
ERIE, PA 16508
Erie County (814) 453-5806
KAYLA WALKER LPC
Counselor (Professional)
2910 STATE ST
ERIE, PA 16508
Erie County (814) 454-5686
MELISSA ANNE MCGIBNEY L.C.S.W.
Counselor (Mental Health)
2910 STATE ST
ERIE, PA 16508
Erie County (814) 454-5686

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 Rebecca Clark's NPI number?

The NPI number for Rebecca Clark is 1174606776. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Rebecca Clark located?

Rebecca Clark practices at 2910 State St, Erie, PA 16508. The listed phone number is (814) 454-5686.

What is Rebecca Clark's specialty?

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

Is Rebecca Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Rebecca Clark was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.