MS. EDITH SUSAN ROOT-CLARK LMSW, CAADC
NPI 1689827768
Social Worker - Clinical in Detroit, MI

Active since November 03, 2008PECOS EnrolledAccepts Medicare Assignment
4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Edith Susan Root-clark Lmsw, Caadc NPPES

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

MS. EDITH SUSAN ROOT-CLARK LMSW, CAADC (NPI 1689827768) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6801090621) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1689827768
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. EDITH SUSAN ROOT-CLARKCredential: LMSW, CAADC
Location Address4646 JOHN R STDetroit, MI 48201-1916
Mailing Address4646 John R StDetroit, MI 48201-1916 · (313) 576-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 3, 2008
Last NPPES UpdateJanuary 9, 2020
NPI 1689827768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801090621
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C-01836 (MI)
4646 JOHN R ST, Detroit, MI 48201

Accepted 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

Ms. Edith Susan Root-clark Lmsw, Caadc 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 ID2365863685
PECOS Enrollment IDI20200521003018
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 48201 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 $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Student in an Organized Health Care Education/Training Program
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse (Medical-Surgical)
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse (Gastroenterology)
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Licensed Practical Nurse
4646 JOHN R ST
DETROIT, MI 48201
Religious Nonmedical Practitioner
4646 JOHN R ST
DETROIT, MI 48201

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 Edith Root-clark's NPI number?

The NPI number for Edith Root-clark is 1689827768. It was assigned to this individual provider in the NPPES registry on November 3, 2008.

Where is Edith Root-clark located?

Edith Root-clark practices at 4646 John R St, Detroit, MI 48201. The listed phone number is (313) 576-1000.

What is Edith Root-clark's specialty?

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

Is Edith Root-clark enrolled in Medicare?

Yes. Edith Root-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.

What insurance does Edith Root-clark accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 2 other insurers list Edith Root-clark 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 Edith Root-clark was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.