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AMBER TERESA CLARK LCSW
NPI 1366771339
Social Worker - Clinical in Decatur, IL

Active since December 21, 2009PECOS Enrolled
3035 E MOUND RD, DECATUR, IL 62526(217) 554-3000(217) 875-2689 Get Directions Write a Review

NPPES record last updated: April 3, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amber Teresa Clark Lcsw NPPES

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

AMBER TERESA CLARK LCSW (NPI 1366771339) is an individual clinical provider in Decatur, Illinois, licensed in Illinois (149014123) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366771339
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMBER TERESA CLARKCredential: LCSW
Location Address3035 E MOUND RDDecatur, IL 62526-9650
Mailing Address3035 E Mound RdDecatur, IL 62526-9650 · (217) 554-3000 · Fax (217) 875-2689
Phone(217) 554-3000
Fax(217) 875-2689
Sole ProprietorNo
Enumeration DateDecember 21, 2009
Last NPPES UpdateApril 3, 2013
✔ NPI 1366771339 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 IL · 149014123
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.
3035 E MOUND RD, Decatur, IL 62526
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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)

Amber Teresa Clark Lcsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 7

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

VETERAN'S ADMINISTRATION
Clinic/Center (Federally Qualified Health Center (FQHC))
3035 E MOUND RD
DECATUR, IL 62526
Macon County (217) 875-2670
JESSICA MARIE JOHNSON O.D.
Optometrist
3035 E MOUND RD
DECATUR, IL 62526
Macon County (217) 554-3000
JANET L. WHITEHEAD L.C.S.W.
Social Worker (Clinical)
3035 E MOUND RD
DECATUR, IL 62526
Macon County (217) 875-2670
MRS. KERRI ANN DIXON APN
Nurse Practitioner (Family)
3035 E MOUND RD
DECATUR, IL 62526
Macon County (217) 875-7700
DEPARTMENT OF VETERANS AFFAIRS
Clinic/Center (VA)
3035 E MOUND RD
DECATUR, IL 62526
Macon County (217) 875-2670
KATHRYN F FAIR PHD
Psychologist
3035 E MOUND RD
DECATUR, IL 62526
Macon County (217) 554-3000
DR. ASHLEY THAIS PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3035 E MOUND RD, DECATUR CBOC
DECATUR, IL 62526
Macon County (217) 875-2670

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 Amber Clark's NPI number?

The NPI number for Amber Clark is 1366771339. It was assigned to this individual provider in the NPPES registry on December 21, 2009.

Where is Amber Clark located?

Amber Clark practices at 3035 E Mound Rd, Decatur, IL 62526. The listed phone number is (217) 554-3000.

What is Amber Clark's specialty?

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

Is Amber Clark enrolled in Medicare?

Yes. Amber Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amber Clark was last updated on April 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.