1. Home
  2. Directory
  3. New Jersey
  4. Collingswood
  5. Social Worker
  6. NPI Profile

MRS. JOHANNA DANIELA CLARK LCSW
NPI 1508962408
Social Worker - Clinical in Collingswood, NJ

Active since September 16, 2006PECOS Enrolled
1107 STOKES AVE, COLLINGSWOOD, NJ 08108(856) 617-1896 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Johanna Daniela Clark Lcsw NPPES

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

MRS. JOHANNA DANIELA CLARK LCSW (NPI 1508962408) is an individual clinical provider in Collingswood, New Jersey, licensed in New York (093547) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508962408
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JOHANNA DANIELA CLARKCredential: LCSW
Location Address1107 STOKES AVECollingswood, NJ 08108-3307
Mailing Address1107 Stokes AveCollingswood, NJ 08108-3307 · (856) 617-1896
Phone(856) 617-1896
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1508962408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NY · 093547✔ Licensed in PA · CW015431
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.
1107 STOKES AVE, Collingswood, NJ 08108
Open in Google Maps ↗

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)

Mrs. Johanna Daniela 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 08108 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 $61.59 – $185.05
Typical copayment $0.00 (range $15.39 – $46.26)
Most-billed visit code NA
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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 Johanna Clark's NPI number?

The NPI number for Johanna Clark is 1508962408. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Johanna Clark located?

Johanna Clark practices at 1107 Stokes Ave, Collingswood, NJ 08108. The listed phone number is (856) 617-1896.

What is Johanna Clark's specialty?

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

Is Johanna Clark enrolled in Medicare?

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

What insurance does Johanna Clark accept?

Health plans from Providence Health Plan list Johanna 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 Johanna Clark was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.