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JESSICA LYNNE CLARK LCSW
NPI 1487802773
Social Worker - Clinical in Sacramento, CA

Active since August 29, 2008PECOS Enrolled
9343 TECH CENTER DR STE 110, SACRAMENTO, CA 95826(916) 379-5876 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 13, 2023, Jul 9, 2021, Apr 22, 2021 and 2 more (5 updates tracked since 2020).

About Jessica Lynne Clark Lcsw NPPES

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

JESSICA LYNNE CLARK LCSW (NPI 1487802773) is an individual clinical provider in Sacramento, California, licensed in California (29340) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in El Dorado Hills.

NPPES Registry Identity

NPI1487802773
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA LYNNE CLARKCredential: LCSW
Location Address9343 TECH CENTER DR STE 110Sacramento, CA 95826-2592
Mailing Address18225 Hale AveMorgan Hill, CA 95037-3547 · (408) 465-8280
Phone(916) 379-5876
Sole ProprietorNo
Enumeration DateAugust 29, 2008
Last NPPES UpdateApril 18, 20235 updates tracked since enumeration
NPPES CertifiedApril 18, 2023
✔ NPI 1487802773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 29340
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 29340 (CA)
9343 TECH CENTER DR STE 110, Sacramento, CA 95826
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Secondary Practice Location 1

Location 15170 GOLDEN FOOTHILL PKWYEL DORADO HILLS, CA 95762-9608 · Phone (530) 461-5353

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lynne Clark Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

6

Medicare enrollment records show Jessica Clark reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Integrated Pain Management Medical Group, Inc.
58 mi
Pain Medicine
450 N WIGET LN
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 137 clinicians in this Medicare group
NPI 1922198779 (925) 691-9806
County Of Butte
58 mi
Mental Health (Including Community Mental Health Center)
995 SPRUCE STREET
Gridley, CA 95948
  • Reassigned Medicare billing, California enrollment
  • 109 clinicians in this Medicare group
NPI 1205994548 (530) 846-7305
Moona Medical Group Of California PC
78 mi
Mental Health
505 MONTGOMERY STREET, 10TH FLOOR
San Francisco, CA 94111
  • Reassigned Medicare billing, California enrollment
  • 52 clinicians in this Medicare group
NPI 1023824836 (503) 427-8095
County Of Tulare
190 mi
Federally Qualified Health Center (FQHC)
2611 N DINUBA BLVD
Visalia, CA 93291
  • Reassigned Medicare billing, California enrollment
  • 81 clinicians in this Medicare group
NPI 1457385163 (559) 623-0700
County Of San Luis Obispo
206 mi
Mental Health (Including Community Mental Health Center)
805 4TH ST
Paso Robles, CA 93446
  • Reassigned Medicare billing, California enrollment
  • 32 clinicians in this Medicare group
NPI 1134287634 (805) 781-4700
Cognitive Care Solutions Group Inc
388 mi
Cognitive & Behavioral
1526 BROOKHOLLOW DR STE 73
Santa Ana, CA 92705
  • Reassigned Medicare billing, California enrollment
  • 87 clinicians in this Medicare group
NPI 1548614183 (714) 545-3390

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95826 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 $60.44 – $180.85
Typical copayment $0.00 (range $15.11 – $45.21)
Most-billed visit code NA
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

AERIC PARK KUGLER MS
Rehabilitation Practitioner
9343 TECH CENTER DR STE 110
SACRAMENTO, CA 95826
Sacramento County (408) 465-8280
MR. JAMES MICHAEL ELLIOTT JR.
Rehabilitation Practitioner
9343 TECH CENTER DR STE 110
SACRAMENTO, CA 95826
Sacramento County (408) 465-8280
JOSEPHINE MUKURIAH
Licensed Vocational Nurse
9343 TECH CENTER DR STE 110
SACRAMENTO, CA 95826
Sacramento County (916) 457-3129
ANNA VUE FNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
9343 TECH CENTER DR STE 110
SACRAMENTO, CA 95826
Sacramento County (408) 465-8280
JENNIFER MICHELLE CHRISTENSEN LVN
Licensed Vocational Nurse
9343 TECH CENTER DR STE 110
SACRAMENTO, CA 95826
Sacramento County (408) 465-8280
LOLA SPANN CARPENTER
Licensed Vocational Nurse
9343 TECH CENTER DR STE 110
SACRAMENTO, CA 95826
Sacramento County (916) 457-3129
MS. ALYSSA MARIE HER
Marriage & Family Therapist
9343 TECH CENTER DR STE 110
SACRAMENTO, CA 95826
Sacramento County (408) 465-8280
LAUREL SUZANNE SANDERS
Licensed Vocational Nurse
9343 TECH CENTER DR STE 110
SACRAMENTO, CA 95826
Sacramento County (916) 457-3129

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 Jessica Clark's NPI number?

The NPI number for Jessica Clark is 1487802773. It was assigned to this individual provider in the NPPES registry on August 29, 2008.

Where is Jessica Clark located?

Jessica Clark practices at 9343 Tech Center Dr Ste 110, Sacramento, CA 95826. The listed phone number is (916) 379-5876.

What is Jessica Clark's specialty?

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

Is Jessica Clark enrolled in Medicare?

Yes. Jessica Clark is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Clark reassigns Medicare benefits to 6 organizations: Integrated Pain Management Medical Group, Inc. (Walnut Creek, CA), County Of Butte (Gridley, CA), Moona Medical Group Of California PC (San Francisco, CA), County Of Tulare (Visalia, CA), County Of San Luis Obispo (Paso Robles, CA) and 1 more organization, listed in the Medicare section above. Each 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 Jessica Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Clark was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.