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MS. ANITRA M CLARK LCSW
NPI 1649280595
Social Worker - Clinical in San Leandro, CA

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
345 ESTUDILLO AVE STE 207, SAN LEANDRO, CA 94577(510) 241-2373(614) 455-1945 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 4, 2026, Feb 11, 2022, Oct 1, 2018 and 1 more (4 updates tracked since 2018).

About Ms. Anitra M Clark Lcsw NPPES

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

MS. ANITRA M CLARK LCSW (NPI 1649280595) is an individual clinical provider in San Leandro, California, licensed in California (LCS26654) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1649280595
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. ANITRA M CLARKCredential: LCSW
Location Address345 ESTUDILLO AVE STE 207San Leandro, CA 94577-4727
Mailing Address375 Estudillo Ave, Ste 207San Leandro, CA 94577 · (510) 241-2373 · Fax (614) 455-1945
Phone(510) 241-2373
Fax(614) 455-1945
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 9, 2006
Last NPPES UpdateJune 4, 20264 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1649280595 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 CA · LCS26654✔ Licensed in CA · 26654
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.
345 ESTUDILLO AVE STE 207, San Leandro, CA 94577
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Anitra M Clark Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163611120
PECOS Enrollment IDI20110106001015
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 Anitra Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
16 mi
Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1841373800 (415) 833-2200

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 94577 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 $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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

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

DR. ROSEMARIE RATTO PH.D.
Psychologist (Clinical)
345 ESTUDILLO AVE STE 207
SAN LEANDRO, CA 94577
Alameda County (510) 841-7484

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 Anitra Clark's NPI number?

The NPI number for Anitra Clark is 1649280595. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Anitra Clark located?

Anitra Clark practices at 345 Estudillo Ave Ste 207, San Leandro, CA 94577. The listed phone number is (510) 241-2373.

What is Anitra Clark's specialty?

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

Is Anitra Clark enrolled in Medicare?

Yes. Anitra Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Anitra Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anitra Clark reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, CA). 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 Anitra Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anitra Clark was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.