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ANDREA CLARK
NPI 1508649070
Social Worker - Clinical in Fort Wayne, IN

Active since August 17, 2023PECOS Enrolled
1530 VANCE AVE, FORT WAYNE, IN 46805(260) 200-3988 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 3, 2025, Aug 17, 2023 (2 updates tracked since 2023).

About Andrea Clark NPPES

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

ANDREA CLARK (NPI 1508649070) is an individual clinical provider in Fort Wayne, Indiana and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1508649070
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANDREA CLARK
Location Address1530 VANCE AVEFort Wayne, IN 46805-2246
Mailing Address1530 Vance AveFort Wayne, IN 46805-2246 · (260) 200-3988
Phone(260) 200-3988
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 17, 2023
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1508649070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1530 VANCE AVE, Fort Wayne, IN 46805
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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)

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

PECOS PAC ID2466802343
PECOS Enrollment IDI20260512001026
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 46805 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 $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA CLARK LCSW LLC
Social Worker (Clinical)
1530 VANCE AVE
FORT WAYNE, IN 46805
Allen County (260) 200-3988

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 Andrea Clark's NPI number?

The NPI number for Andrea Clark is 1508649070. It was assigned to this individual provider in the NPPES registry on August 17, 2023.

Where is Andrea Clark located?

Andrea Clark practices at 1530 Vance Ave, Fort Wayne, IN 46805. The listed phone number is (260) 200-3988.

What is Andrea Clark's specialty?

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

Is Andrea Clark enrolled in Medicare?

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

What insurance does Andrea Clark accept?

Health plans from UnitedHealthcare list Andrea Clark 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 Andrea Clark was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.