KRISTINA CLARK LCSW
NPI 1336086636
Social Worker - Clinical in Connersville, IN
About Kristina Clark Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINA CLARK LCSW (NPI 1336086636) is an individual clinical provider in Connersville, Indiana, licensed in Indiana (34012855A) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kristina Clark Lcsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Kristina Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bloomington, IN 47403
- Reassigned Medicare billing, Indiana enrollment
- 251 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47331 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CONNERSVILLE, IN 47331
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 Kristina Clark's NPI number?
The NPI number for Kristina Clark is 1336086636. It was assigned to this individual provider in the NPPES registry on May 4, 2026.
Where is Kristina Clark located?
Kristina Clark practices at 390 Erie Ave, Connersville, IN 47331. The listed phone number is (765) 377-1090.
What is Kristina Clark's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kristina Clark enrolled in Medicare?
Yes. Kristina 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.
Which organization bills Medicare for Kristina Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Clark reassigns Medicare benefits to Centerstone Of Indiana, Inc. (Bloomington, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristina Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristina Clark accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Kristina 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 Kristina Clark was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kristina Clark, LCSW · NPI 1336086636
Clinical provider in Connersville, Indiana. Individual provider, active in the CMS NPPES registry since May 4, 2026.
## Identity
- **NPI:** 1336086636 (Entity type: Individual)
- **Enumerated:** May 4, 2026
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 34012855A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 390 ERIE AVE, Connersville, IN 47331-3177
- **Phone:** (765) 377-1090
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Centerstone Of Indiana, Inc. (NPI 1972320224, Bloomington, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 4, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1336086636) · Data from the CMS NPPES public registry.