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MARY WATSON CLARK LICSW, LMSW
NPI 1720127988
Social Worker - Clinical in Minneapolis, MN

Active since February 05, 2007PECOS Enrolled
410 CHURCH ST SE, MINNEAPOLIS, MN 55455(612) 625-8400(612) 677-3211 Get Directions Write a Review

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

Record update history: Dec 30, 2025, Jun 11, 2024 (2 updates tracked since 2024).

About Mary Watson Clark Licsw, Lmsw NPPES

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

MARY WATSON CLARK LICSW, LMSW (NPI 1720127988) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (21255) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720127988
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY WATSON CLARKCredential: LICSW, LMSW
Location Address410 CHURCH ST SEMinneapolis, MN 55455-0222
Mailing Address410 Church St SeMinneapolis, MN 55455-0222 · (612) 625-8400 · Fax (612) 677-3211
Phone(612) 625-8400
Fax(612) 677-3211
Sole ProprietorNo
Enumeration DateFebruary 5, 2007
Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1720127988 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
Licenses✔ Licensed in MN · 21255✔ Licensed in MI · 6801066900
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 ListedSocial WorkerTaxonomy 104100000X · License 6801066900 (MI)
410 CHURCH ST SE, Minneapolis, MN 55455
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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 (PECOS)

Mary Watson Clark Licsw, Lmsw 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 55455 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 20

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

MS. STEPHANIE GRADY PA & NP
Family Medicine
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-2612
RICHARD JON FEIST MD
Family Medicine
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
REGENTS OF THE UNIVERSITY OF MINNESOTA
Clinic/Center (Student Health)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
JEREMY ADAM GOLDBERG LICSW
Social Worker (Clinical)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-1444
DR. SABA GHAZIMOGHADAM PH.D.
Psychologist (Counseling)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
JOY L JOHNSON-LIND LICSW
Social Worker (Clinical)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8400
MARY KATHERINE UTZ LICSW
Social Worker (Clinical)
410 CHURCH ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-9194
MARILYN SUSAN JOSEPH MD
Obstetrics & Gynecology
410 CHURCH ST SE, BOYNTON HEALTH SERVICE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5187

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 Mary Clark's NPI number?

The NPI number for Mary Clark is 1720127988. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Mary Clark located?

Mary Clark practices at 410 Church St SE, Minneapolis, MN 55455. The listed phone number is (612) 625-8400.

What is Mary Clark's specialty?

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

Is Mary Clark enrolled in Medicare?

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

What insurance does Mary Clark accept?

Health plans from HealthPartners list Mary 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 Mary Clark was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.