TROY WILLIAM CLARK LCSW
NPI 1699884619
Social Worker - Clinical in Portland, ME

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
216 VAUGHAN ST, PORTLAND, ME 04102(207) 662-2221(207) 662-7081 Get Directions Write a Review

NPPES record last updated: January 7, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Troy William Clark Lcsw NPPES

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

TROY WILLIAM CLARK LCSW (NPI 1699884619) is an individual clinical provider in Portland, Maine, licensed in Maine (LC1376) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1699884619
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTROY WILLIAM CLARKCredential: LCSW
Location Address216 VAUGHAN STPortland, ME 04102-3204
Mailing Address216 Vaughan StPortland, ME 04102-3204 · (207) 662-2221 · Fax (207) 662-7081
Fax(207) 662-7081
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 7, 2009
NPI 1699884619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in ME · LC1376
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.
216 VAUGHAN ST, Portland, ME 04102

Other Identifiers 2

Medicare PINMM5654ME
Medicare PINMM565401ME

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

Troy William 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 ID3476580184
PECOS Enrollment IDI20050725000952
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
74 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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 $56.28 – $169.96
Typical copayment $0.00 (range $14.07 – $42.49)
Most-billed visit code NA
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Clinical Nurse Specialist (Psychiatric/Mental Health)
216 VAUGHAN ST
PORTLAND, ME 04102
Social Worker (Clinical)
216 VAUGHAN ST
PORTLAND, ME 04102
Psychiatry & Neurology (Psychiatry)
216 VAUGHAN ST
PORTLAND, ME 04102
Social Worker (Clinical)
216 VAUGHAN ST
PORTLAND, ME 04102
Social Worker (Clinical)
216 VAUGHAN ST
PORTLAND, ME 04102
Registered Nurse (Psychiatric/Mental Health)
216 VAUGHAN ST
PORTLAND, ME 04102
Social Worker (Clinical)
216 VAUGHAN ST
PORTLAND, ME 04102
Social Worker
216 VAUGHAN ST
PORTLAND, ME 04102

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 Troy Clark's NPI number?

The NPI number for Troy Clark is 1699884619. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Troy Clark located?

Troy Clark practices at 216 Vaughan St, Portland, ME 04102. The listed phone number is (207) 662-2221.

What is Troy Clark's specialty?

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

Is Troy Clark enrolled in Medicare?

Yes. Troy 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 Troy Clark accept?

Health plans from Harvard Pilgrim Health Care list Troy 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.

Is Troy Clark affiliated with any hospitals?

According to CMS data, Troy Clark is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Troy Clark was last updated on January 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.