ANNA LISA CLARK LISW, LICDC
NPI 1457376485
Counselor - Addiction (Substance Use Disorder) in North Ridgeville, OH

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
35888 CENTER RIDGE RD, SUITE 5, NORTH RIDGEVILLE, OH 44039(440) 327-1800(440) 327-1533 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anna Lisa Clark Lisw, Licdc NPPES

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

ANNA LISA CLARK LISW, LICDC (NPI 1457376485) is an individual addiction (substance use disorder) provider in North Ridgeville, Ohio, licensed in Ohio (862262) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1995).

NPPES Registry Identity

NPI1457376485
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameANNA LISA CLARKCredential: LISW, LICDC
Location Address35888 CENTER RIDGE RD, SUITE 5North Ridgeville, OH 44039-3086
Mailing Address35888 Center Ridge Rd, Suite 5North Ridgeville, OH 44039-3086 · (440) 327-1800 · Fax (440) 327-1533
Fax(440) 327-1533
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1995
Enumeration DateJuly 12, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1457376485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OH · 862262
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License I-0007941 (OH)
35888 CENTER RIDGE RD, North Ridgeville, OH 44039

Accepted 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

Anna Lisa Clark Lisw, Licdc 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 ID4284690728
PECOS Enrollment IDI20140131000587
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.

Other Providers at the Same Location NPPES 14

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

Optometrist
35888 CENTER RIDGE RD, SUITE 2
NORTH RIDGEVILLE, OH 44039
Counselor (Professional)
35888 CENTER RIDGE RD, SUITE 5
NORTH RIDGEVILLE, OH 44039
Counselor (Mental Health)
35888 CENTER RIDGE RD, SUITE 5
NORTH RIDGEVILLE, OH 44039
Social Worker
35888 CENTER RIDGE RD, SUITE 5
NORTH RIDGEVILLE, OH 44039
Social Worker (Clinical)
35888 CENTER RIDGE RD, SUITE 5
NORTH RIDGEVILLE, OH 44039
Counselor (Mental Health)
35888 CENTER RIDGE RD, SUITE 5
NORTH RIDGEVILLE, OH 44039
Marriage & Family Therapist
35888 CENTER RIDGE RD, SUITE 5
NORTH RIDGEVILLE, OH 44039
Psychologist
35888 CENTER RIDGE RD, STE. 5
NORTH RIDGEVILLE, OH 44039

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 Anna Clark's NPI number?

The NPI number for Anna Clark is 1457376485. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Anna Clark located?

Anna Clark practices at 35888 Center Ridge Rd Suite 5, North Ridgeville, OH 44039. The listed phone number is (440) 327-1800.

What is Anna Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Anna Clark enrolled in Medicare?

Yes. Anna 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 Anna Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Anna 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 Anna Clark was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.