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

Q: 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.

Q: What is Jessica Clark's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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.

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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