COURTNEY CLARK
NPI 1265978712
Social Worker - Clinical in Saginaw, MI

Q: What is Courtney Clark's NPI number?

The NPI number for Courtney Clark is 1265978712. It was assigned to this individual provider in the NPPES registry on January 9, 2017.

Q: What is Courtney 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 Courtney Clark was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 January 09, 2017PECOS EnrolledAccepts Medicare Assignment

2100 HEMMETER RD, SAGINAW, MI 48603(989) 799-2100 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2025, Jan 9, 2017 (2 updates tracked since 2017).

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About Courtney Clark NPPES

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

COURTNEY CLARK (NPI 1265978712) is an individual clinical provider in Saginaw, Michigan and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cadillac, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1265978712

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCOURTNEY CLARK

Location Address2100 HEMMETER RDSaginaw, MI 48603-3944

Mailing Address2100 Hemmeter RdSaginaw, MI 48603-3944 · (989) 799-2100

Phone(989) 799-2100

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 9, 2017

Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration

NPPES CertifiedNovember 17, 2025

✔ NPI 1265978712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

Also ListedSocial WorkerTaxonomy 104100000X

2100 HEMMETER RD, Saginaw, MI 48603

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Secondary Practice Location 1

Location 1527 Cobb StCadillac, MI 49601-2540 · Phone (231) 775-3463

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Courtney 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 ID3779987946

PECOS Enrollment IDI20210810002703

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, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

79 services17 patients

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.

77 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48603 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 $54.34 – $166.68

Typical copayment $0.00 (range $13.58 – $41.67)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

DR. CHALICHAMA A..N RAO M.D

Psychiatry & Neurology (Psychiatry)