MICHELLE RANDALL CLARK LCSW
NPI 1649903295
Social Worker - Clinical in Athens, GA

Q: What is Michelle Clark's NPI number?

The NPI number for Michelle Clark is 1649903295. It was assigned to this individual provider in the NPPES registry on July 1, 2022.

Q: What is Michelle Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michelle Clark was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 01, 2022PECOS EnrolledAccepts Medicare Assignment

3320 OLD JEFFERSON RD BLDG 800, ATHENS, GA 30607(706) 353-2990(706) 353-2992 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2026, Jul 16, 2024 (2 updates tracked since 2024).

On this page

About Michelle Randall Clark Lcsw NPPES

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

MICHELLE RANDALL CLARK LCSW (NPI 1649903295) is an individual clinical provider in Athens, Georgia and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1649903295

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMICHELLE RANDALL CLARKCredential: LCSW

Location Address3320 OLD JEFFERSON RD BLDG 800Athens, GA 30607-1400

Mailing Address3320 Old Jefferson Rd Bldg 800Athens, GA 30607-1400 · (706) 353-2990 · Fax (706) 353-2992

Phone(706) 353-2990

Fax(706) 353-2992

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJuly 1, 2022

Last NPPES UpdateMay 27, 20262 updates tracked since enumeration

NPPES CertifiedMay 27, 2026

✔ NPI 1649903295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

3320 OLD JEFFERSON RD BLDG 800, Athens, GA 30607

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1355 Clear Creek Pkwy Ste 2007Lavonia, GA 30553-4271 · Phone (706) 356-2934 · Fax (706) 353-2992

Location 2119 Harmony Xing Ste 1Eatonton, GA 31024-9571 · Phone (762) 220-1880

Location 34182 Highway 278 NECovington, GA 30014-2494 · Phone (678) 712-6921 · Fax (706) 353-2992

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Randall 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 ID8921464140

PECOS Enrollment IDI20230515000119

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 30607 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 $53.31 – $164.04

Typical copayment $0.00 (range $13.32 – $41.01)

Most-billed visit code NA

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

CORTNEY MAFFETT

Nurse Practitioner