1. Home
  2. Directory
  3. California
  4. Petaluma
  5. Social Worker
  6. NPI Profile

JENNIFER A CLARK LCSW
NPI 1770893786
Social Worker - Clinical in Petaluma, CA

Active since October 13, 2010PECOS Enrolled
1301 SOUTHPOINT BLVD, PETALUMA, CA 94954(707) 559-7500(707) 559-7540 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer A Clark Lcsw NPPES

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

JENNIFER A CLARK LCSW (NPI 1770893786) is an individual clinical provider in Petaluma, California, licensed in California (ASW19290) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770893786
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER A CLARKCredential: LCSW
Location Address1301 SOUTHPOINT BLVDPetaluma, CA 94954-6867
Mailing Address1301 Southpoint BlvdPetaluma, CA 94954-6867 · (707) 559-7500 · Fax (707) 559-7540
Phone(707) 559-7500
Fax(707) 559-7540
Sole ProprietorNo
Enumeration DateOctober 13, 2010
Last NPPES UpdateDecember 30, 2021
✔ NPI 1770893786 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 CA · ASW19290
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.
1301 SOUTHPOINT BLVD, Petaluma, CA 94954
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer A Clark Lcsw 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 94954 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 $63.04 – $187.01
Typical copayment $0.00 (range $15.76 – $46.75)
Most-billed visit code NA
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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 11

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

AUDRA LEHMAN M.D.
Family Medicine
1301 SOUTHPOINT BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
KELLY PFEIFER M.D.
Family Medicine
1301 SOUTHPOINT BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
MS. DONNA C GEIGER FNP
Nurse Practitioner (Family)
1301 SOUTHPOINT BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
ULLA B ANDREWSON LCSW
Social Worker (Clinical)
1301 SOUTHPOINT BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
SHARON L MORGAN PA
Physician Assistant
1301 SOUTHPOINT BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
COLLEEN FOY STERLING M.D.
Family Medicine
1301 SOUTHPOINT BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
GEORGINA SANDINO RN
Registered Nurse
1301 SOUTHPOINT BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
NANCY D COLVIN LCSW
Social Worker (Clinical)
1301 SOUTHPOINT BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500

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 Jennifer Clark's NPI number?

The NPI number for Jennifer Clark is 1770893786. It was assigned to this individual provider in the NPPES registry on October 13, 2010.

Where is Jennifer Clark located?

Jennifer Clark practices at 1301 Southpoint Blvd, Petaluma, CA 94954. The listed phone number is (707) 559-7500.

What is Jennifer Clark's specialty?

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

Is Jennifer Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Clark was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.