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AMY CLARK LCSW, SAC
NPI 1851898233
Social Worker - Clinical in Franklin, WI

Active since April 11, 2018PECOS EnrolledAccepts Medicare Assignment
9200 W LOOMIS RD STE 217, FRANKLIN, WI 53132(414) 773-4312 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2024, Dec 8, 2021, Apr 29, 2019 and 1 more (4 updates tracked since 2018).

About Amy Clark Lcsw, Sac NPPES

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

AMY CLARK LCSW, SAC (NPI 1851898233) is an individual clinical provider in Franklin, Wisconsin, licensed in Wisconsin (8789-123) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and maintains a secondary practice location in Kenosha.

NPPES Registry Identity

NPI1851898233
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMY CLARKCredential: LCSW, SAC
Location Address9200 W LOOMIS RD STE 217Franklin, WI 53132
Mailing Address9200 W Loomis Rd Ste 217Franklin, WI 53132-8887 · (414) 773-4312
Phone(414) 773-4312
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 11, 2018
Last NPPES UpdateJune 5, 20244 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1851898233 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
License✔ Licensed in WI · 8789-123
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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 16182-132 (WI)
9200 W LOOMIS RD STE 217, Franklin, WI 53132
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Secondary Practice Location 1

Location 13601 30th Ave Ste 102Kenosha, WI 53144-1642 · Phone (262) 654-0487

Other Identifiers 1

Medicaid100077875WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Clark Lcsw, Sac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931456209
PECOS Enrollment IDI20180717003993
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.

Medicare Billing Reassignment

Medicare enrollment records show Amy Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prohealth Medical Group Inc
4.3 mi
Internal Medicine
S69W15636 JANESVILLE RD
Muskego, WI 53150
  • Reassigned Medicare billing, Wisconsin enrollment
  • 528 clinicians in this Medicare group
NPI 1114068970 (262) 928-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53132 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 Amy Clark's NPI number?

The NPI number for Amy Clark is 1851898233. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Amy Clark located?

Amy Clark practices at 9200 W Loomis Rd Ste 217, Franklin, WI 53132. The listed phone number is (414) 773-4312.

What is Amy Clark's specialty?

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

Is Amy Clark enrolled in Medicare?

Yes. Amy Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Amy Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Clark reassigns Medicare benefits to Prohealth Medical Group Inc (Muskego, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Amy Clark affiliated with any hospitals?

According to CMS data, Amy Clark is affiliated with Waukesha Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Amy Clark was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.