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MS. CAMILLE ELAINE CLARK LCSW
NPI 1710856695
Social Worker - Clinical in Austin, TX

Active since October 30, 2025PECOS Enrolled
11305 CREST MEADOW LN, AUSTIN, TX 78748(512) 626-8126 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Camille Elaine Clark Lcsw NPPES

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

MS. CAMILLE ELAINE CLARK LCSW (NPI 1710856695) is an individual clinical provider in Austin, Texas, licensed in Texas (62759) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1710856695
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CAMILLE ELAINE CLARKCredential: LCSW
Location Address11305 CREST MEADOW LNAustin, TX 78748-3942
Mailing Address11305 Crest Meadow LnAustin, TX 78748-3942
Phone(512) 626-8126
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1710856695 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 TX · 62759
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.
11305 CREST MEADOW LN, Austin, TX 78748
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Camille Elaine Clark Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971089111
PECOS Enrollment IDI20260107004583
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 78748 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 $57.88 – $174.00
Typical copayment $0.00 (range $14.47 – $43.50)
Most-billed visit code NA
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

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 Camille Clark's NPI number?

The NPI number for Camille Clark is 1710856695. It was assigned to this individual provider in the NPPES registry on October 30, 2025.

Where is Camille Clark located?

Camille Clark practices at 11305 Crest Meadow Ln, Austin, TX 78748. The listed phone number is (512) 626-8126.

What is Camille Clark's specialty?

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

Is Camille Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Camille Clark was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.