JENNIFER CLARK LCSW
NPI 1417028937
Social Worker - Clinical in North Franklin, CT

Active since November 13, 2006Opted out of Medicare · through Apr 1, 2027
72 ROUTE 32, NORTH FRANKLIN, CT 06254(860) 917-0790(860) 367-0342 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Clark Lcsw NPPES

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

JENNIFER CLARK LCSW (NPI 1417028937) is an individual clinical provider in North Franklin, Connecticut, licensed in Connecticut (006060) and active in the NPI registry since November 2006. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417028937
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER CLARKCredential: LCSW
Location Address72 ROUTE 32North Franklin, CT 06254-1810
Mailing Address12 Liberty RdOakdale, CT 06370-1211
Fax(860) 367-0342
Sole ProprietorYes
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1417028937 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 CT · 006060
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.

72 ROUTE 32, North Franklin, CT 06254

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jennifer Clark Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06254 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 6

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

Social Worker (Clinical)
72 ROUTE 32
NORTH FRANKLIN, CT 06254
Counselor (Professional)
72 ROUTE 32
NORTH FRANKLIN, CT 06254
Counselor (Professional)
72 ROUTE 32
NORTH FRANKLIN, CT 06254
Counselor (Addiction (Substance Use Disorder))
72 ROUTE 32
NORTH FRANKLIN, CT 06254
Counselor (Mental Health)
72 ROUTE 32
NORTH FRANKLIN, CT 06254
Counselor (Professional)
72 ROUTE 32
NORTH FRANKLIN, CT 06254

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 Jennifer Clark's NPI number?

The NPI number for Jennifer Clark is 1417028937. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Jennifer Clark located?

Jennifer Clark practices at 72 Route 32, North Franklin, CT 06254. The listed phone number is (860) 917-0790.

What is Jennifer Clark's specialty?

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

Is Jennifer Clark enrolled in Medicare?

No. Jennifer Clark has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jennifer Clark accept?

Health plans from Providence Health Plan list Jennifer 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 Jennifer Clark was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.