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SUSAN CLARK LCSW
NPI 1619268422
Social Worker - Clinical in Louisville, KY

Active since April 27, 2011PECOS Enrolled
914 E BROADWAY, 3RD FLOOR, LOUISVILLE, KY 40204(502) 589-8600(502) 589-8771 Get Directions Write a Review

NPPES record last updated: November 3, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Susan Clark Lcsw NPPES

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

SUSAN CLARK LCSW (NPI 1619268422) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (5049) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619268422
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN CLARKCredential: LCSW
Location Address914 E BROADWAY, 3RD FLOORLouisville, KY 40204-1037
Mailing Address101 W Muhammad Ali BlvdLouisville, KY 40202-1423
Phone(502) 589-8600
Fax(502) 589-8771
Sole ProprietorYes
Enumeration DateApril 27, 2011
Last NPPES UpdateNovember 3, 2015
✔ NPI 1619268422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 5049
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.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 2013-007 (KY)
914 E BROADWAY, Louisville, KY 40204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan 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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Joshuas House
1.3 mi
Community/Behavioral Health
1169 EASTERN PKWY STE 1124
Louisville, KY 40217
  • Reassigned Medicare billing, Kentucky enrollment
  • 5 clinicians in this Medicare group
NPI 1013695352 (502) 576-6643

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40204 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 $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 20

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

JOSEPH SCHAEFER
Counselor
914 E BROADWAY, 3RD FLOOR
LOUISVILLE, KY 40204
Jefferson County (502) 589-1100
STEPHANIE STEWART
Counselor (Mental Health)
914 E BROADWAY, 3RD FLOOR
LOUISVILLE, KY 40204
Jefferson County (502) 589-1100
ELIZABETH SIEVWRIGHT
Social Worker (Clinical)
914 E BROADWAY
LOUISVILLE, KY 40204
Jefferson County (502) 589-8600
JULIANA GROSSI LCSW
Social Worker (Clinical)
914 E BROADWAY
LOUISVILLE, KY 40204
Jefferson County (502) 589-8600
EMILY MILLER
Social Worker
914 E BROADWAY, 2ND FLOOR
LOUISVILLE, KY 40204
Jefferson County (502) 589-8600
NATASHA L SCHAEFER
Social Worker (Clinical)
914 E BROADWAY
LOUISVILLE, KY 40204
Jefferson County (502) 587-8833
MR. WILLIAM HOWARD CREASMAN III LCSW
Social Worker (Clinical)
914 E BROADWAY
LOUISVILLE, KY 40204
Jefferson County (502) 587-8833
MARIA E TREVINO
Social Worker (Clinical)
914 E BROADWAY, 2ND FLOOR
LOUISVILLE, KY 40204
Jefferson County (502) 589-8600

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 Susan Clark's NPI number?

The NPI number for Susan Clark is 1619268422. It was assigned to this individual provider in the NPPES registry on April 27, 2011.

Where is Susan Clark located?

Susan Clark practices at 914 E Broadway 3rd Floor, Louisville, KY 40204. The listed phone number is (502) 589-8600.

What is Susan Clark's specialty?

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

Is Susan Clark enrolled in Medicare?

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

Which organization bills Medicare for Susan Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Clark reassigns Medicare benefits to Joshuas House (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Clark accept?

Health plans from Anthem Blue Cross and Blue Shield list Susan 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 Susan Clark was last updated on November 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.