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MARY MELISSA AR CLARK-WHITE LCSW
NPI 1184368516
Social Worker - Clinical in Santa Clara, CA

Active since April 22, 2022PECOS Enrolled
2200 MONROE ST APT 1818, SANTA CLARA, CA 95050(510) 846-9264 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Melissa Ar Clark-white Lcsw NPPES

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

MARY MELISSA AR CLARK-WHITE LCSW (NPI 1184368516) is an individual clinical provider in Santa Clara, California, licensed in California (100783) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184368516
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY MELISSA AR CLARK-WHITECredential: LCSW
Location Address2200 MONROE ST APT 1818Santa Clara, CA 95050-3466
Mailing Address2200 Monroe St Apt 1818Santa Clara, CA 95050-3466 · (510) 846-9264
Phone(510) 846-9264
Sole ProprietorNo
Enumeration DateApril 22, 2022
NPPES CertifiedApril 17, 2022
✔ NPI 1184368516 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 CA · 100783
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.
2200 MONROE ST APT 1818, Santa Clara, CA 95050
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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)

Mary Melissa Ar Clark-white 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 95050 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 $70.37 – $206.04
Typical copayment $0.00 (range $17.59 – $51.51)
Most-billed visit code NA
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

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 Mary Melissa Clark-white's NPI number?

The NPI number for Mary Melissa Clark-white is 1184368516. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Mary Melissa Clark-white located?

Mary Melissa Clark-white practices at 2200 Monroe St Apt 1818, Santa Clara, CA 95050. The listed phone number is (510) 846-9264.

What is Mary Melissa Clark-white's specialty?

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

Is Mary Melissa Clark-white enrolled in Medicare?

Yes. Mary Melissa Clark-white is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Melissa Clark-white was last updated on April 22, 2022. 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.