ALTHERESA CLARK
NPI 1710332333
Social Worker - Clinical in Miami, FL

Active since May 02, 2016PECOS Enrolled
111 NW 183RD ST STE 404, MIAMI, FL 33169(786) 524-4001(786) 551-1968 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2024, Aug 16, 2016 (2 updates tracked since 2016).

About Altheresa Clark NPPES

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

ALTHERESA CLARK (NPI 1710332333) is an individual clinical provider in Miami, Florida, licensed in Florida (SW13295) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710332333
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALTHERESA CLARK
Location Address111 NW 183RD ST STE 404Miami, FL 33169-4619
Mailing Address111 Nw 183rd St Ste 404Miami, FL 33169-4619 · (786) 524-4001 · Fax (786) 551-1968
Fax(786) 551-1968
Sole ProprietorYes
Enumeration DateMay 2, 2016
Last NPPES UpdateMarch 5, 20242 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
NPI 1710332333 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 FL · SW13295
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 ListedCounselorTaxonomy 101Y00000X · License SW13295 (FL)
111 NW 183RD ST STE 404, Miami, FL 33169

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 (PECOS)

Altheresa Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 33169 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 $60.92 – $187.05
Typical copayment $0.00 (range $15.23 – $46.76)
Most-billed visit code NA
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

Social Worker (Clinical)
111 NW 183RD ST STE 404
MIAMI, FL 33169
Social Worker (Clinical)
111 NW 183RD ST STE 404
MIAMI GARDENS, FL 33169
Social Worker (Clinical)
111 NW 183RD ST STE 404
MIAMI, FL 33169
Counselor (Mental Health)
111 NW 183RD ST STE 404
MIAMI, FL 33169
Counselor (Mental Health)
111 NW 183RD ST STE 404
MIAMI, FL 33169
Social Worker
111 NW 183RD ST STE 404
MIAMI, FL 33169
Counselor (Mental Health)
111 NW 183RD ST STE 404
MIAMI, FL 33169
Counselor (Mental Health)
111 NW 183RD ST STE 404
MIAMI, FL 33169

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 Altheresa Clark's NPI number?

The NPI number for Altheresa Clark is 1710332333. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Where is Altheresa Clark located?

Altheresa Clark practices at 111 NW 183rd St Ste 404, Miami, FL 33169. The listed phone number is (786) 524-4001.

What is Altheresa Clark's specialty?

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

Is Altheresa Clark enrolled in Medicare?

Yes. Altheresa Clark is registered in the Medicare PECOS enrollment system.

What insurance does Altheresa Clark accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Altheresa 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 Altheresa Clark was last updated on March 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.