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MELISSA JEAN CLARK LCSW
NPI 1568970937
Social Worker in Syracuse, NY

Active since January 18, 2018PECOS Enrolled
620 MADISON ST, SYRACUSE, NY 13210(315) 426-5467(315) 426-5451 Get Directions Write a Review

NPPES record last updated: January 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa Jean Clark Lcsw NPPES

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

MELISSA JEAN CLARK LCSW (NPI 1568970937) is an individual social worker in Syracuse, New York, licensed in New York (073453-1) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568970937
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMELISSA JEAN CLARKCredential: LCSW
Location Address620 MADISON STSyracuse, NY 13210-2319
Mailing Address620 Madison StSyracuse, NY 13210-2319 · (315) 426-5467 · Fax (315) 426-5451
Phone(315) 426-5467
Fax(315) 426-5451
Sole ProprietorNo
Enumeration DateJanuary 18, 2018
✔ NPI 1568970937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 073453-1
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
620 MADISON ST, Syracuse, NY 13210
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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)

Melissa Jean 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.

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.

ROSS LOUCY
Social Worker (Clinical)
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-7675
BROOKE GARROW
Licensed Practical Nurse
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-3600
ROXANNE REIMER
Social Worker (Clinical)
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-7680
MRS. GLORIA DURU RN
Registered Nurse (Psychiatric/Mental Health, Adult)
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-3660
DR. KATHARINA EMILY KULIK PSYD
Student in an Organized Health Care Education/Training Program
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-3600
WILBUR THEODORE ALBRECHT III M.D.
Psychiatry & Neurology (Psychiatry)
620 MADISON ST, HUTCHINGS PSYCHIATRIC CENTER
SYRACUSE, NY 13210
Onondaga County (315) 426-3600
MERCEDES ALICIA HUNT RN BSN
Registered Nurse
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-3600
MRS. MAXINE FREE RN
Registered Nurse (Psychiatric/Mental Health, Adult)
620 MADISON ST
SYRACUSE, NY 13210
Onondaga County (315) 426-3600

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 Melissa Clark's NPI number?

The NPI number for Melissa Clark is 1568970937. It was assigned to this individual provider in the NPPES registry on January 18, 2018.

Where is Melissa Clark located?

Melissa Clark practices at 620 Madison St, Syracuse, NY 13210. The listed phone number is (315) 426-5467.

What is Melissa Clark's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Melissa Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Melissa Clark was last updated on January 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.