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ANNETTE M CLARK LICSW
NPI 1366828477
Social Worker - Clinical in Bryan, TX

Active since July 31, 2015PECOS EnrolledAccepts Medicare Assignment
2900 E 29TH ST, BRYAN, TX 77802(979) 776-8400(877) 601-5854 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Annette M Clark Licsw NPPES

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

ANNETTE M CLARK LICSW (NPI 1366828477) is an individual clinical provider in Bryan, Texas, licensed in Texas (112234) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1366828477
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANNETTE M CLARKCredential: LICSW
Location Address2900 E 29TH STBryan, TX 77802-2622
Mailing Address124 Elton Hills Ln NwRochester, MN 55901-3577 · (507) 282-1009 · Fax (507) 282-0932
Phone(979) 776-8400
Fax(877) 601-5854
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 31, 2015
Last NPPES UpdateMay 6, 2024
NPPES CertifiedMay 6, 2024
✔ NPI 1366828477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in TX · 112234✔ Licensed in MN · 11843
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.
2900 E 29TH ST, Bryan, TX 77802
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Annette M Clark 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 ID1355659822
PECOS Enrollment IDI20240514000415
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 77802 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 $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

MR. ROLANDO ALFREDO BOTELLO
Student in an Organized Health Care Education/Training Program
2900 E 29TH ST
BRYAN, TX 77802
Brazos County (979) 776-8440
DR. JASON MCKNIGHT M.D.
Family Medicine
2900 E 29TH ST, STE. 100
BRYAN, TX 77802
Brazos County (979) 436-0485
TAL NESICHI LCSW
Social Worker
2900 E 29TH ST
BRYAN, TX 77802
Brazos County (979) 436-0605
MR. TIMOTHY DALE ASHLEY JR. M.D.
Family Medicine
2900 E 29TH ST, SUITE 100
BRYAN, TX 77802
Brazos County (979) 436-0485
ANNA NOUZOVSKY
Student in an Organized Health Care Education/Training Program
2900 E 29TH ST
BRYAN, TX 77802
Brazos County (797) 768-4409
DR. KATIE PEKAREK D.O.
Family Medicine
2900 E 29TH ST, 100
BRYAN, TX 77802
Brazos County (979) 436-0485
LYRIC LEANNA JACKSON
Psychologist
2900 E 29TH ST
BRYAN, TX 77802
Brazos County (979) 776-8440
STEPHEN TYLER WATSON
Psychologist
2900 E 29TH ST
BRYAN, TX 77802
Brazos County (844) 097-9776

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 Annette Clark's NPI number?

The NPI number for Annette Clark is 1366828477. It was assigned to this individual provider in the NPPES registry on July 31, 2015.

Where is Annette Clark located?

Annette Clark practices at 2900 E 29th St, Bryan, TX 77802. The listed phone number is (979) 776-8400.

What is Annette Clark's specialty?

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

Is Annette Clark enrolled in Medicare?

Yes. Annette 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 Annette Clark accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Annette 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 Annette Clark was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.