DR. CARISSA J VAN DEN BERK-CLARK PHD, LCSW
NPI 1609625136
Social Worker - Clinical in Litchfield, IL

Q: What is Carissa Van Den Berk-clark's NPI number?

The NPI number for Carissa Van Den Berk-clark is 1609625136. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Q: What is Carissa Van Den Berk-clark's specialty?

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

Active since May 16, 2024PECOS Enrolled

805 SAINT FRANCIS WAY, LITCHFIELD, IL 62056(217) 250-2380 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Carissa J Van Den Berk-clark Phd, Lcsw NPPES

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

DR. CARISSA J VAN DEN BERK-CLARK PHD, LCSW (NPI 1609625136) is an individual clinical provider in Litchfield, Illinois, licensed in Illinois (150.103768) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609625136

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameDR. CARISSA J VAN DEN BERK-CLARKCredential: PHD, LCSW

Location Address805 SAINT FRANCIS WAYLitchfield, IL 62056-1779

Mailing Address1008 S Spring AveSaint Louis, MO 63110-2520 · (314) 977-4840

Phone(217) 250-2380

Sole ProprietorNo

Enumeration DateMay 16, 2024

NPPES CertifiedMay 16, 2024

✔ NPI 1609625136 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 IL · 150.103768✔ Licensed in MO · 2022015061

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.

805 SAINT FRANCIS WAY, Litchfield, IL 62056

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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)

Dr. Carissa J Van Den Berk-clark Phd, 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 62056 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 $56.28 – $173.35

Typical copayment $0.00 (range $14.07 – $43.33)

Most-billed visit code NA

Established Patient

$70.42 typical visit price

range $17.51 – $139.99

Typical copayment $17.60 (range $4.37 – $34.99)

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 5

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

KATHERINE JOHNSON LCSW

Social Worker (Clinical)