KATE KRIZAN CLARK MSW - NPI 1598527962 - Social Worker in Vienna, VA

Q: What is Kate Clark's NPI number?

The NPI number for Kate Clark is 1598527962. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Q: What is Kate Clark's specialty?

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

Q: Is Kate Clark enrolled in Medicare?

No. Kate Clark has opted out of Medicare through March 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kate Clark was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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About Kate Krizan Clark Msw NPPES

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

KATE KRIZAN CLARK MSW (NPI 1598527962) is an individual clinical provider in Vienna, Virginia, licensed in Virginia (0906014966) and active in the NPI registry since January 2024. She has opted out of Medicare through March 23, 2028.

NPPES Registry Identity

NPI1598527962

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKATE KRIZAN CLARKCredential: MSW

Location Address8206 LEESBURG PIKE STE 302Vienna, VA 22182-2614

Mailing Address352 Gallop Wood PlGreat Falls, VA 22066-1127 · (202) 669-5370

Phone(703) 594-1535

Sole ProprietorYes

Enumeration DateJanuary 30, 2024

NPPES CertifiedJanuary 30, 2024

✔ NPI 1598527962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in VA · 0906014966

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.

8206 LEESBURG PIKE STE 302, Vienna, VA 22182

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kate Krizan Clark Msw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 23, 2026 through March 23, 2028.

Opt-Out Effective DateMarch 23, 2026

Opt-Out In Effect ThroughMarch 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

JULIA COGDELL MSW, LCSW

Social Worker