CLARK THOMPSON MSW
NPI 1497461594
Counselor - Mental Health in West Orange, NJ

Q: What is Clark Thompson's NPI number?

The NPI number for Clark Thompson is 1497461594. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Q: What is Clark Thompson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Clark Thompson was last updated on January 23, 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.

Active since January 23, 2023PECOS Enrolled

107 MAPLE ST, WEST ORANGE, NJ 07052(973) 980-6538 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Clark Thompson Msw NPPES

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

CLARK THOMPSON MSW (NPI 1497461594) is an individual mental health provider in West Orange, New Jersey and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1497461594

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameCLARK THOMPSONCredential: MSW

Location Address107 MAPLE STWest Orange, NJ 07052-5818

Mailing Address107 Maple StWest Orange, NJ 07052-5818 · (973) 980-6538

Phone(973) 980-6538

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateJanuary 23, 2023

NPPES CertifiedJanuary 23, 2023

✔ NPI 1497461594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

107 MAPLE ST, West Orange, NJ 07052

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clark Thompson Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103323068

PECOS Enrollment IDI20251007003674

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.

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 Clark Thompson's NPI number?

The NPI number for Clark Thompson is 1497461594. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Where is Clark Thompson located?

Clark Thompson practices at 107 Maple St, West Orange, NJ 07052. The listed phone number is (973) 980-6538.

What is Clark Thompson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Clark Thompson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Clark Thompson was last updated on January 23, 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.