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CARLTON FREDERIC CLARK LCSW
NPI 1487415501
Social Worker - Clinical in Tucson, AZ

Active since January 16, 2024Opted out of Medicare · through Dec 12, 2027
9095 E TANQUE VERDE RD UNIT 171-322, TUCSON, AZ 85749(520) 519-8475 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carlton Frederic Clark Lcsw NPPES

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

CARLTON FREDERIC CLARK LCSW (NPI 1487415501) is an individual clinical provider in Tucson, Arizona, licensed in Arizona (LCSW-0011) and active in the NPI registry since January 2024. He has opted out of Medicare through December 12, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487415501
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCARLTON FREDERIC CLARKCredential: LCSW
Location Address9095 E TANQUE VERDE RD UNIT 171-322Tucson, AZ 85749-8821
Mailing AddressPo Box 31454Tucson, AZ 85751-1454 · (520) 519-8475
Phone(520) 519-8475
Sole ProprietorNo
Enumeration DateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1487415501 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 AZ · LCSW-0011
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.
9095 E TANQUE VERDE RD UNIT 171-322, Tucson, AZ 85749
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carlton Frederic 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 December 12, 2023 through December 12, 2027.

Opt-Out Effective DateDecember 12, 2023
Opt-Out In Effect ThroughDecember 12, 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 85749 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 $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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 Carlton Clark's NPI number?

The NPI number for Carlton Clark is 1487415501. It was assigned to this individual provider in the NPPES registry on January 16, 2024.

Where is Carlton Clark located?

Carlton Clark practices at 9095 E Tanque Verde Rd Unit 171-322, Tucson, AZ 85749. The listed phone number is (520) 519-8475.

What is Carlton Clark's specialty?

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

Is Carlton Clark enrolled in Medicare?

No. Carlton Clark has opted out of Medicare through December 12, 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.

When was this NPI record last updated?

The NPPES record for Carlton Clark was last updated on January 16, 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.