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MR. RANDOLPH LAIRD CLARK MSW, LCSW
NPI 1245665363
Social Worker - Clinical in Brownsburg, IN

Active since September 09, 2013PECOS Enrolled
554 PIT RD, BROWNSBURG, IN 46112(317) 742-9400(317) 742-9414 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2024, Nov 23, 2021, Mar 15, 2017 and 1 more (4 updates tracked since 2017).

About Mr. Randolph Laird Clark Msw, Lcsw NPPES

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

MR. RANDOLPH LAIRD CLARK MSW, LCSW (NPI 1245665363) is an individual clinical provider in Brownsburg, Indiana, licensed in Indiana (34007681A) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245665363
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. RANDOLPH LAIRD CLARKCredential: MSW, LCSW
Location Address554 PIT RDBrownsburg, IN 46112-9555
Mailing Address554 Pit RdBrownsburg, IN 46112-9555 · (317) 742-9400 · Fax (317) 742-9414
Phone(317) 742-9400
Fax(317) 742-9414
Sole ProprietorNo
Enumeration DateSeptember 9, 2013
Last NPPES UpdateJune 18, 20244 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1245665363 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 IN · 34007681A
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.
554 PIT RD, Brownsburg, IN 46112
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16655 E US Highway 36Avon, IN 46123-8923 · Phone (888) 714-1927 · Fax (317) 272-0807
Location 21700 N Illinois StIndianapolis, IN 46202-1316 · Phone (317) 554-5700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Randolph Laird Clark Msw, 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 46112 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 $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON MASTERSON
Massage Therapist
554 PIT RD
BROWNSBURG, IN 46112
Hendricks County (317) 939-3081
REDISCOVER COUNSELING, LLC
Social Worker (Clinical)
554 PIT RD
BROWNSBURG, IN 46112
Hendricks County (317) 742-9400
AUSTIN MARIASY
Social Worker
554 PIT RD
BROWNSBURG, IN 46112
Hendricks County (317) 742-9400
MOSHA C MYLES-HARRIS LCSW
Social Worker (Clinical)
554 PIT RD
BROWNSBURG, IN 46112
Hendricks County (317) 742-9400

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 Randolph Clark's NPI number?

The NPI number for Randolph Clark is 1245665363. It was assigned to this individual provider in the NPPES registry on September 9, 2013.

Where is Randolph Clark located?

Randolph Clark practices at 554 Pit Rd, Brownsburg, IN 46112. The listed phone number is (317) 742-9400.

What is Randolph Clark's specialty?

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

Is Randolph Clark enrolled in Medicare?

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

What insurance does Randolph Clark accept?

Health plans from UnitedHealthcare list Randolph 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 Randolph Clark was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.