MS. DEIDRE' MARIE CLARK MA, LMFT - NPI 1245829548 - Marriage & Family Therapist in Shakopee, MN

Q: What is Deidre' Clark's NPI number?

The NPI number for Deidre' Clark is 1245829548. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Q: What is Deidre' Clark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Deidre' Clark was last updated on January 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Deidre' Marie Clark Ma, Lmft NPPES

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

MS. DEIDRE' MARIE CLARK MA, LMFT (NPI 1245829548) is an individual marriage & family therapist in Shakopee, Minnesota, licensed in Minnesota (3698) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245829548

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. DEIDRE' MARIE CLARKCredential: MA, LMFT

Location Address200 4TH AVE W STE 300Shakopee, MN 55379-1220

Mailing Address26 River Woods LnBurnsville, MN 55337-3369 · (952) 220-0263

Phone(952) 496-8445

Sole ProprietorNo

Enumeration DateJanuary 12, 2021

NPPES CertifiedJanuary 12, 2021

✔ NPI 1245829548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 3698

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

200 4TH AVE W STE 300, Shakopee, MN 55379

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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)

Ms. Deidre' Marie Clark Ma, Lmft 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.

Other Providers at the Same Location NPPES 10

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

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