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BRAD CLARK
NPI 1811677172
Social Worker - Clinical in Portland, ME

Active since July 21, 2023PECOS Enrolled
216 VAUGHAN ST, PORTLAND, ME 04102(207) 662-2469 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Brad Clark NPPES

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

BRAD CLARK (NPI 1811677172) is an individual clinical provider in Portland, Maine, licensed in Maine (MC22300) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811677172
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRAD CLARK
Location Address216 VAUGHAN STPortland, ME 04102-3204
Mailing Address216 Vaughan StPortland, ME 04102-3204 · (207) 662-2469
Phone(207) 662-2469
Sole ProprietorNo
Enumeration DateJuly 21, 2023
NPPES CertifiedJuly 21, 2023
✔ NPI 1811677172 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 ME · MC22300
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.
216 VAUGHAN ST, Portland, ME 04102
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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)

Brad 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 04102 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 $56.28 – $169.96
Typical copayment $0.00 (range $14.07 – $42.49)
Most-billed visit code NA
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

LINDA HARMON JACOBSON APRN CNS
Clinical Nurse Specialist (Psychiatric/Mental Health)
216 VAUGHAN ST
PORTLAND, ME 04102
Cumberland County (207) 662-2221
MAUREEN C JORDAN LCSW
Social Worker (Clinical)
216 VAUGHAN ST
PORTLAND, ME 04102
Cumberland County (207) 662-2221
DR. CHARLES J. MALLO DO
Psychiatry & Neurology (Psychiatry)
216 VAUGHAN ST
PORTLAND, ME 04102
Cumberland County (207) 662-2221
MELANIE HANNON LCSW, LADC
Social Worker (Clinical)
216 VAUGHAN ST
PORTLAND, ME 04102
Cumberland County (207) 662-2221
KATHLEEN SPRENGEL LCSW
Social Worker (Clinical)
216 VAUGHAN ST
PORTLAND, ME 04102
Cumberland County (207) 662-4359
ELIZABETH LARGEY RNC
Registered Nurse (Psychiatric/Mental Health)
216 VAUGHAN ST
PORTLAND, ME 04102
Cumberland County (207) 662-2019
HARRY R KATZ LCSW
Social Worker (Clinical)
216 VAUGHAN ST
PORTLAND, ME 04102
Cumberland County (207) 662-2221
MR. WAYNE H BACHNER LCSW
Social Worker
216 VAUGHAN ST
PORTLAND, ME 04102
Cumberland County (207) 662-2221

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 Brad Clark's NPI number?

The NPI number for Brad Clark is 1811677172. It was assigned to this individual provider in the NPPES registry on July 21, 2023.

Where is Brad Clark located?

Brad Clark practices at 216 Vaughan St, Portland, ME 04102. The listed phone number is (207) 662-2469.

What is Brad Clark's specialty?

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

Is Brad Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brad Clark was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.