MELISSA I CLARK MSW, LICSW
NPI 1275300303
Social Worker - Clinical in Two Harbors, MN

Active since December 08, 2023PECOS EnrolledAccepts Medicare Assignment
325 11TH AVE, TWO HARBORS, MN 55616(218) 834-5520(218) 834-4264 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melissa I Clark Msw, Licsw NPPES

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

MELISSA I CLARK MSW, LICSW (NPI 1275300303) is an individual clinical provider in Two Harbors, Minnesota, licensed in Minnesota (29218) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1275300303
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELISSA I CLARKCredential: MSW, LICSW
Location Address325 11TH AVETwo Harbors, MN 55616-1300
Mailing Address1401 East 1st StreetDuluth, MN 55805-2407 · (218) 728-4491 · Fax (218) 302-8698
Fax(218) 834-4264
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 8, 2023
NPPES CertifiedDecember 8, 2023
NPI 1275300303 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 MN · 29218
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 11TH AVE, Two Harbors, MN 55616

Secondary Practice Locations 4

Location 140 11th StCloquet, MN 55720-1817 · Phone (218) 879-4559 · Fax (218) 879-0282
Location 21401 East 1st StreetDuluth, MN 55805-2407 · Phone (218) 728-4491 · Fax (218) 302-8698
Location 3810 E 4th StDuluth, MN 55805-2147 · Phone (218) 728-4491 · Fax (218) 302-8698
Location 4120 W 2nd StDuluth, MN 55802-2017 · Phone (218) 728-4491 · Fax (218) 302-8698

Accepted 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

Melissa I Clark Msw, Licsw 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 ID2062862899
PECOS Enrollment IDI20231220001360
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 55616 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Dental Hygienist
325 11TH AVE
TWO HARBORS, MN 55616
General Acute Care Hospital (Critical Access)
325 11TH AVE
TWO HARBORS, MN 55616
Skilled Nursing Facility
325 11TH AVE
TWO HARBORS, MN 55616
Physical Therapist
325 11TH AVE
TWO HARBORS, MN 55616
Family Medicine
325 11TH AVE
TWO HARBORS, MN 55616
Physical Therapist
325 11TH AVE
TWO HARBORS, MN 55616
Acupuncturist
325 11TH AVE
TWO HARBORS, MN 55616
Family Medicine
325 11TH AVE
TWO HARBORS, MN 55616

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 Melissa Clark's NPI number?

The NPI number for Melissa Clark is 1275300303. It was assigned to this individual provider in the NPPES registry on December 8, 2023.

Where is Melissa Clark located?

Melissa Clark practices at 325 11th Ave, Two Harbors, MN 55616. The listed phone number is (218) 834-5520.

What is Melissa Clark's specialty?

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

Is Melissa Clark enrolled in Medicare?

Yes. Melissa 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 Melissa Clark accept?

Health plans from HealthPartners, Sanford Health Plan and Security Health Plan list Melissa 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 Melissa Clark was last updated on December 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.