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MR. CLARK E WOOLDRIDGE JR. LISW ACP
NPI 1649380502
Social Worker - Clinical in Clovis, NM

Active since August 30, 2006Opted out of Medicare · through Feb 2, 2027
1220 MITCHELL, CLOVIS, NM 88101(806) 681-6745(505) 742-3182 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Clark E Wooldridge Jr. Lisw Acp NPPES

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

MR. CLARK E WOOLDRIDGE JR. LISW ACP (NPI 1649380502) is an individual clinical provider in Clovis, New Mexico, licensed in New Mexico (I2267) and active in the NPI registry since August 2006. He has opted out of Medicare through February 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649380502
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. CLARK E WOOLDRIDGE JR.Credential: LISW ACP
Location Address1220 MITCHELLClovis, NM 88101
Mailing Address3519 TrippAmarillo, TX 79121 · (806) 359-4127 · Fax (806) 359-4127
Phone(806) 681-6745
Fax(505) 742-3182
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649380502 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 NM · I2267✔ Licensed in TX · 05339
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.
1220 MITCHELL, Clovis, NM 88101
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Other Identifiers 1

Medicaid97107NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Clark E Wooldridge Jr. Lisw Acp 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 February 2, 2017 through February 2, 2027.

Opt-Out Effective DateFebruary 2, 2017
Opt-Out In Effect ThroughFebruary 2, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88101 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 $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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 Clark Wooldridge's NPI number?

The NPI number for Clark Wooldridge is 1649380502. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Clark Wooldridge located?

Clark Wooldridge practices at 1220 Mitchell, Clovis, NM 88101. The listed phone number is (806) 681-6745.

What is Clark Wooldridge's specialty?

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

Is Clark Wooldridge enrolled in Medicare?

No. Clark Wooldridge has opted out of Medicare through February 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Clark Wooldridge accept?

Health plans from Providence Health Plan list Clark Wooldridge 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 Clark Wooldridge was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.