NICOLE RENAE CLARK LICSW
NPI 1841927415
Social Worker - Clinical in Birmingham, AL

Active since August 04, 2022PECOS Enrolled
48 MEDICAL PARK DR E, BIRMINGHAM, AL 35235(205) 517-7730 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Renae Clark Licsw NPPES

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

NICOLE RENAE CLARK LICSW (NPI 1841927415) is an individual clinical provider in Birmingham, Alabama, licensed in Alabama (3619C) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Center Point.

NPPES Registry Identity

NPI1841927415
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE RENAE CLARKCredential: LICSW
Location Address48 MEDICAL PARK DR EBirmingham, AL 35235-3400
Mailing Address600 27th Ave NwCenter Point, AL 35215-2216 · (205) 482-2739
Sole ProprietorNo
Enumeration DateAugust 4, 2022
NPPES CertifiedAugust 3, 2022
NPI 1841927415 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 AL · 3619C
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.
48 MEDICAL PARK DR E, Birmingham, AL 35235

Secondary Practice Location 1

Location 1600 27th Ave NWCenter Point, AL 35215-2216 · Phone (205) 482-2739

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)

Nicole Renae Clark Licsw 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 35235 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 $52.65 – $161.63
Typical copayment $0.00 (range $13.16 – $40.40)
Most-billed visit code NA
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

Obstetrics & Gynecology (Gynecology)
48 MEDICAL PARK DR E, SUITE 355
BIRMINGHAM, AL 35235
Internal Medicine
48 MEDICAL PARK DR E, SUITE 457
BIRMINGHAM, AL 35235
Specialist
48 MEDICAL PARK DR E, SUITE 350
BIRMINGHAM, AL 35235
Dentist (Oral and Maxillofacial Surgery)
48 MEDICAL PARK DR E, SUITE 158
BIRMINGHAM, AL 35235
Dermatology (Dermatopathology)
48 MEDICAL PARK DR E, SUITE 458
BIRMINGHAM, AL 35235
Obstetrics & Gynecology
48 MEDICAL PARK DR E, SUITE 355
BIRMINGHAM, AL 35235
Audiologist
48 MEDICAL PARK DR E, SUITE 153
BIRMINGHAM, AL 35235
Family Medicine
48 MEDICAL PARK DR E, SUITE 154
BIRMINGHAM, AL 35235

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 Nicole Clark's NPI number?

The NPI number for Nicole Clark is 1841927415. It was assigned to this individual provider in the NPPES registry on August 4, 2022.

Where is Nicole Clark located?

Nicole Clark practices at 48 Medical Park Dr E, Birmingham, AL 35235. The listed phone number is (205) 517-7730.

What is Nicole Clark's specialty?

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

Is Nicole Clark enrolled in Medicare?

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

What insurance does Nicole Clark accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Nicole 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 Nicole Clark was last updated on August 4, 2022. 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.