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KRISTINA CLARK LCSW
NPI 1336086636
Social Worker - Clinical in Connersville, IN

Active since May 04, 2026PECOS Enrolled
390 ERIE AVE, CONNERSVILLE, IN 47331(765) 377-1090 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1336086636
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTINA CLARKCredential: LCSW
Location Address390 ERIE AVEConnersville, IN 47331-3177
Mailing Address645 S Rogers StBloomington, IN 47403-2353
Phone(765) 377-1090
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 4, 2026
NPPES CertifiedMay 4, 2026
✔ NPI 1336086636 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 IN · 34012855A
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.
390 ERIE AVE, Connersville, IN 47331
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Clark Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375012867
PECOS Enrollment IDI20260513004229
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 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.

New Patient
$0.00 typical visit price
range $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 9

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

CANDICE L MCCANN MSW
Social Worker
390 ERIE AVE
CONNERSVILLE, IN 47331
Fayette County (765) 825-4124
SARAH ROBERTS LCSW
Social Worker (Clinical)
390 ERIE AVE
CONNERSVILLE, IN 47331
Fayette County (765) 825-4124
BENJAMIN LEE KLEIN L.M.F.T.
Marriage & Family Therapist
390 ERIE AVE
CONNERSVILLE, IN 47331
Fayette County (765) 825-4124
DONNA J ADAMS MSW, LCSW
Social Worker (Clinical)
390 ERIE AVE
CONNERSVILLE, IN 47331
Fayette County (765) 825-4124
SUSAN FISHER
Social Worker (Clinical)
390 ERIE AVE
CONNERSVILLE, IN 47331
Fayette County (765) 825-4124
CARA KILFOIL LCSW
Social Worker (Clinical)
390 ERIE AVE
CONNERSVILLE, IN 47331
Fayette County (765) 825-4124
LESLEY JEAN MULLINS R.N., M.S., CNS.
Clinical Nurse Specialist (Psychiatric/Mental Health)
390 ERIE AVE
CONNERSVILLE, IN 47331
Fayette County (765) 825-4124
MORGAN REEVE LCSW
Social Worker (Clinical)
390 ERIE AVE
CONNERSVILLE, IN 47331
Fayette County (765) 377-1090

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 enrollment system.

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 3 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.