MR. GREGORY D CLARK MSW
NPI 1689608952
Social Worker - Clinical in Fargo, ND

NPI Status: Active since July 10, 2006

Contact Information

118 BROADWAY N
STE 810
FARGO, ND
ZIP 58102
Phone: (701) 799-8785
Fax: (701) 205-4930

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  • Individual
  • Male
  • Social Worker
  • Clinical

About GREGORY CLARK

This page provides the complete NPI Profile along with additional information for Gregory Clark, a provider established in Fargo, North Dakota with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1689608952 assigned on July 2006. The practitioner's primary taxonomy code is 1041C0700X with license number LICSW 2973 (ND). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1689608952
Provider Name
MR. GREGORY D CLARK MSW
Gender
Male
Entity Type
Individual
Location Address
118 BROADWAY N STE 810 FARGO, ND 58102
Location Phone
(701) 799-8785
Location Fax
(701) 205-4930
Mailing Address
118 BROADWAY N STE 810 FARGO, ND 58102
Mailing Phone
(701) 799-8785
Mailing Fax
(701) 205-4930
Is Sole Proprietor?
Yes
Enumeration Date
07-10-2006
Last Update Date
03-25-2016
Code Navigator

A clinical social worker like Gregory Clark is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
LICSW 2973
License State
ND
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
03Q32CLOTHER (01)MNBCBS OF MN PIN
N15066MEDICARE PIN (08)ND 
015066OTHER (01)NDBCBS OF ND PIN

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1689608952, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 1 + 2 + 0 + 1 + 6 + 9 + 1 + 0 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1689608952.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Professional)
118 BROADWAY N, SUITE 416
FARGO, ND 58102
Clinic/Center
118 BROADWAY N, SUITE 205
FARGO, ND 58102
Social Worker (Clinical)
118 BROADWAY N, SUITE 810
FARGO, ND 58102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689608952, enumerated as an "individual" on July 10, 2006.

The provider is located at 118 BROADWAY N STE 810 FARGO, ND 58102 and the phone number is (701) 799-8785.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.