LISA C CLARK
NPI 1194888222
Social Worker - Clinical in Tomah, WI

Q: What is Lisa Clark's NPI number?

The NPI number for Lisa Clark is 1194888222. It was assigned to this individual provider in the NPPES registry on December 19, 2006. The provider is also known as Lisa C Mycanka.

Q: What is Lisa 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 Lisa Clark was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 19, 2006PECOS EnrolledAccepts Medicare Assignment

325 BUTTS AVE, TOMAH, WI 54660(608) 372-5951(608) 372-3436 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2020, Oct 13, 2020, Nov 16, 2018 (3 updates tracked since 2018).

On this page

About Lisa C Clark NPPES

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

LISA C CLARK (NPI 1194888222) is an individual clinical provider in Tomah, Wisconsin, licensed in Wisconsin (8194) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1194888222

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameLISA C CLARK

Location Address325 BUTTS AVETomah, WI 54660-1412

Mailing Address200 1st St SwRochester, MN 55905-0001 · (715) 838-5222

Phone(608) 372-5951

Fax(608) 372-3436

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateDecember 19, 2006

Last NPPES UpdateNovember 18, 20203 updates tracked since enumeration

NPPES CertifiedNovember 18, 2020

✔ NPI 1194888222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in WI · 8194✔ Licensed in KY · 3586

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.

325 BUTTS AVE, Tomah, WI 54660

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Other Names 1

Former Name (1)Lisa C Mycanka

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Security Health Plan.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

Lisa C Clark 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 ID5698934164

PECOS Enrollment IDI20120302000415, I20140915000918

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

56 services13 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta

Critical Access Hospitals · Sparta, WI

OwnershipVoluntary non-profit - Church

CMS Certification Number521305

Location310 W Main StSparta, WI 54656 · Monroe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54660 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 $53.90 – $163.24

Typical copayment $0.00 (range $13.47 – $40.81)

Most-billed visit code NA

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

JULIE ELIZABETH GOODHUE OTR

Occupational Therapist

325 BUTTS AVE
TOMAH, WI 54660

Monroe County (608) 785-0940

MRS. KATHRYN J REEDICH P.T.

Physical Therapist

325 BUTTS AVE
TOMAH, WI 54660

Monroe County (608) 372-5951

SHAREL A MARTIN MD

Emergency Medicine

325 BUTTS AVE
TOMAH, WI 54660

Monroe County (608) 372-5951

ANDREW LAST MD

Family Medicine

325 BUTTS AVE
TOMAH, WI 54660

Monroe County (608) 372-5999

JANE E WEISS PA

Physician Assistant (Medical)

325 BUTTS AVE
TOMAH, WI 54660

Monroe County (608) 372-5951

MEGAN R GRYGLESKI PA-C

Physician Assistant

325 BUTTS AVE
TOMAH, WI 54660

Monroe County (608) 372-5951

ABBEY ALICE ROSE CNM

Advanced Practice Midwife

325 BUTTS AVE
TOMAH, WI 54660

Monroe County (608) 372-5999

STACEY J SPERLINGAS MD

Family Medicine

325 BUTTS AVE
TOMAH, WI 54660

Monroe County (608) 392-5000

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 Lisa Clark's NPI number?

The NPI number for Lisa Clark is 1194888222. It was assigned to this individual provider in the NPPES registry on December 19, 2006. The provider is also known as Lisa C Mycanka.

Where is Lisa Clark located?

Lisa Clark practices at 325 Butts Ave, Tomah, WI 54660. The listed phone number is (608) 372-5951.

What is Lisa Clark's specialty?

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

Is Lisa Clark enrolled in Medicare?

Yes. Lisa 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 Lisa Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Security Health Plan list Lisa 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.

Is Lisa Clark affiliated with any hospitals?

According to CMS data, Lisa Clark is affiliated with Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta.

When was this NPI record last updated?

The NPPES record for Lisa Clark was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.