1. Home
  2. Directory
  3. Texas
  4. Lakeside
  5. Social Worker
  6. NPI Profile

MARIELLA E CLARK LCSW
NPI 1245798156
Social Worker - Clinical in Lakeside, TX

Active since March 10, 2019Opted out of Medicare · through Jul 1, 2028
121 OAKWOOD CT, LAKESIDE, TX 76135(817) 779-0850 Get Directions Write a Review

NPPES record last updated: December 15, 2019. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Dec 15, 2019, Mar 10, 2019 (2 updates tracked since 2019).

About Mariella E Clark Lcsw NPPES

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

MARIELLA E CLARK LCSW (NPI 1245798156) is an individual clinical provider in Lakeside, Texas, licensed in Texas (57729) and active in the NPI registry since March 2019. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1245798156
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARIELLA E CLARKCredential: LCSW
Location Address121 OAKWOOD CTLakeside, TX 76135-4932
Mailing Address121 Oakwood CtLakeside, TX 76135-4932 · (817) 779-0850
Phone(817) 779-0850
Sole ProprietorYes
Enumeration DateMarch 10, 2019
Last NPPES UpdateDecember 15, 20192 updates tracked since enumeration
✔ NPI 1245798156 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 TX · 57729
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.
121 OAKWOOD CT, Lakeside, TX 76135
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mariella E Clark Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Mariella Clark's NPI number?

The NPI number for Mariella Clark is 1245798156. It was assigned to this individual provider in the NPPES registry on March 10, 2019.

Where is Mariella Clark located?

Mariella Clark practices at 121 Oakwood Ct, Lakeside, TX 76135. The listed phone number is (817) 779-0850.

What is Mariella Clark's specialty?

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

Is Mariella Clark enrolled in Medicare?

No. Mariella Clark has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Mariella Clark accept?

Health plans from Blue Cross and Blue Shield of Texas list Mariella 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 Mariella Clark was last updated on December 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.