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MS. AMY CLARK LICSW
NPI 1700955259
Social Worker - Clinical in Buffalo, MN

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment
102 MARTY DR, BUFFALO, MN 55313(763) 682-5420(763) 682-5803 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Amy Clark Licsw NPPES

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

MS. AMY CLARK LICSW (NPI 1700955259) is an individual clinical provider in Buffalo, Minnesota, licensed in Minnesota (1340) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1700955259
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. AMY CLARKCredential: LICSW
Location Address102 MARTY DRBuffalo, MN 55313-9305
Mailing Address3226 Garfield St NeMinneapolis, MN 55418-2226 · (612) 816-2361 · Fax (612) 788-9505
Phone(763) 682-5420
Fax(763) 682-5803
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700955259 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 MN · 1340
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.
102 MARTY DR, Buffalo, MN 55313
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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. Amy Clark Licsw 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 ID8123102191
PECOS Enrollment IDI20080228000718
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 55313 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 10

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

LORI GILDERSLEEVE LP
Psychologist
102 MARTY DR
BUFFALO, MN 55313
Wright County (763) 682-5420
MARY MARTY LP
Psychologist
102 MARTY DR
BUFFALO, MN 55313
Wright County (763) 682-5420
LORRAINE HOFFMAN LP
Psychologist
102 MARTY DR
BUFFALO, MN 55313
Wright County (763) 682-5420
ALEX MACALENA JR. LP
Psychologist
102 MARTY DR
BUFFALO, MN 55313
Wright County (763) 682-5420
BRENNER DENTAL GROUP
Clinic/Center (Dental)
102 MARTY DR, SUITE 3
BUFFALO, MN 55313
Wright County (763) 682-2101
FAMILY COUNSELING CENTER INC
Psychologist
102 MARTY DR
BUFFALO, MN 55313
Wright County (763) 682-5420
BUFFALO DENTAL CENTER
Dentist (General Practice)
102 MARTY DR
BUFFALO, MN 55313
Wright County (763) 682-2101
MARK PEDERSON LP
Psychologist
102 MARTY DR
BUFFALO, MN 55313
Wright County (763) 682-5420

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 Amy Clark's NPI number?

The NPI number for Amy Clark is 1700955259. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Amy Clark located?

Amy Clark practices at 102 Marty Dr, Buffalo, MN 55313. The listed phone number is (763) 682-5420.

What is Amy Clark's specialty?

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

Is Amy Clark enrolled in Medicare?

Yes. Amy 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 Amy Clark accept?

Health plans from HealthPartners list Amy 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 Amy Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.