CLARA THROCKMORTON
NPI 1477827830
Social Worker in Atlanta, GA

Active since March 02, 2012PECOS EnrolledAccepts Medicare Assignment
1155 LAVISTA RD NE APT 2322, ATLANTA, GA 30324(734) 678-1363 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2025, Oct 2, 2024, Aug 8, 2022 and 5 more (8 updates tracked since 2017).

About Clara Throckmorton NPPES

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

CLARA THROCKMORTON (NPI 1477827830) is an individual social worker in Atlanta, Georgia, licensed in Michigan (6801112468) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Southgate, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1477827830
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCLARA THROCKMORTON
Location Address1155 LAVISTA RD NE APT 2322Atlanta, GA 30324-3754
Mailing Address5215 Bradmore LnWarren, MI 48092-6322 · (734) 678-1363
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 2, 2012
Last NPPES UpdateJanuary 6, 20258 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1477827830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses✔ Licensed in MI · 6801112468✔ Licensed in MI · 6801092793
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License CSW007928 (GA)
1155 LAVISTA RD NE APT 2322, Atlanta, GA 30324

Secondary Practice Location 1

Location 113101 Allen RdSouthgate, MI 48195-2216 · Phone (734) 785-7700

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clara Throckmorton 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 ID8921380304
PECOS Enrollment IDI20220519002640
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.

Medicare Billing Reassignment

Medicare enrollment records show Clara Throckmorton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
6548 TOWN CENTER DR STE D
Clarkston, MI 48346
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Richard Kneip Phd PC
  • 347 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Clara Throckmorton's NPI number?

The NPI number for Clara Throckmorton is 1477827830. It was assigned to this individual provider in the NPPES registry on March 2, 2012.

Where is Clara Throckmorton located?

Clara Throckmorton practices at 1155 Lavista Rd NE Apt 2322, Atlanta, GA 30324. The listed phone number is (734) 678-1363.

What is Clara Throckmorton's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Clara Throckmorton enrolled in Medicare?

Yes. Clara Throckmorton 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.

Which organization bills Medicare for Clara Throckmorton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clara Throckmorton reassigns Medicare benefits to Richard Kneip, Ph.D., P.C. (Clarkston, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clara Throckmorton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clara Throckmorton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Clara Throckmorton 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 Clara Throckmorton was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.