EMILY MARGARET CLARK
NPI 1679052195
Social Worker - Clinical in Oakland, CA

Q: What is Emily Clark's NPI number?

The NPI number for Emily Clark is 1679052195. It was assigned to this individual provider in the NPPES registry on August 7, 2018.

Q: What is Emily 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 Emily Clark was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 07, 2018PECOS Enrolled

3800 COOLIDGE AVE, OAKLAND, CA 94602(510) 482-2244(510) 488-1960 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Emily Margaret Clark NPPES

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

EMILY MARGARET CLARK (NPI 1679052195) is an individual clinical provider in Oakland, California and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679052195

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameEMILY MARGARET CLARK

Location Address3800 COOLIDGE AVEOakland, CA 94602-3399

Mailing Address3800 Coolidge AveOakland, CA 94602-3399

Phone(510) 482-2244

Fax(510) 488-1960

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 7, 2018

✔ NPI 1679052195 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.

3800 COOLIDGE AVE, Oakland, CA 94602

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Margaret Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537643176

PECOS Enrollment IDI20260320002021

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 Emily Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cyti Health PC

452 mi

Mental Health (Including Community Mental Health Center)

402 W BROADWAY STE 400
San Diego, CA 92101

Reassigned Medicare billing, California enrollment
545 clinicians in this Medicare group

NPI 1679172290 (866) 478-3978

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 94602 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 20

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

MARY ELLEN ROJAS

Marriage & Family Therapist