1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Social Worker
  6. NPI Profile

BIANCA JASMIN CLARK LCSW
NPI 1700444320
Social Worker - Clinical in Chicago, IL

Active since May 29, 2019PECOS EnrolledAccepts Medicare Assignment
3062 E 91ST ST, CHICAGO, IL 60617(773) 371-2900 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bianca Jasmin Clark Lcsw NPPES

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

BIANCA JASMIN CLARK LCSW (NPI 1700444320) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.021215) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1700444320
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBIANCA JASMIN CLARKCredential: LCSW
Location Address3062 E 91ST STChicago, IL 60617-4401
Mailing Address3062 E 91st StChicago, IL 60617-4401 · (773) 371-2900
Phone(773) 371-2900
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 29, 2019
✔ NPI 1700444320 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 IL · 149.021215
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.
3062 E 91ST ST, Chicago, IL 60617
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Bianca Jasmin 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 ID5496082919
PECOS Enrollment IDI20190807000026
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 60617 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

NANCY S AGUILAR
Social Worker
3062 E 91ST ST
CHICAGO, IL 60617
Cook County (773) 437-4643
MS. MALINDA LEE LCPC
Counselor (Professional)
3062 E 91ST ST
CHICAGO, IL 60617
Cook County (773) 371-2941
ROSE AVALOS
Case Manager/Care Coordinator
3062 E 91ST ST
CHICAGO, IL 60617
Cook County (773) 371-2900
AMANDA LYNN WHITE M.A., LPC
Counselor (Mental Health)
3062 E 91ST ST
CHICAGO, IL 60617
Cook County (773) 371-2900
ANGELA RUSSELL
Case Manager/Care Coordinator
3062 E 91ST ST
CHICAGO, IL 60617
Cook County (773) 437-4740
MS. SARAI HARO M.S.
Counselor (Professional)
3062 E 91ST ST
CHICAGO, IL 60617
Cook County (773) 371-2900
MARIA SOSA
Case Manager/Care Coordinator
3062 E 91ST ST
CHICAGO, IL 60617
Cook County (773) 718-1525
TOPAZ I LEWIS
Social Worker
3062 E 91ST ST
CHICAGO, IL 60617
Cook County (773) 437-4643

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 Bianca Clark's NPI number?

The NPI number for Bianca Clark is 1700444320. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Where is Bianca Clark located?

Bianca Clark practices at 3062 E 91st St, Chicago, IL 60617. The listed phone number is (773) 371-2900.

What is Bianca Clark's specialty?

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

Is Bianca Clark enrolled in Medicare?

Yes. Bianca 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 Bianca Clark accept?

Health plans from Providence Health Plan list Bianca 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 Bianca Clark was last updated on May 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.