JAVANA CLARK LCSW-C
NPI 1871310862
Social Worker in Lanham, MD
About Javana Clark Lcsw-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAVANA CLARK LCSW-C (NPI 1871310862) is an individual social worker in Lanham, Maryland, licensed in Maryland (30334) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Javana Clark Lcsw-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Javana Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80202
- Reassigned Medicare billing, Maryland enrollment
- 179 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Javana Clark's NPI number?
The NPI number for Javana Clark is 1871310862. It was assigned to this individual provider in the NPPES registry on September 23, 2024.
Where is Javana Clark located?
Javana Clark practices at 4303 Forbes Blvd, Lanham, MD 20706. The listed phone number is (443) 438-6742.
What is Javana Clark's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Javana Clark enrolled in Medicare?
Yes. Javana Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Javana Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Javana Clark reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). 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 Javana Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Javana Clark was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.
# Javana Clark, LCSW-C · NPI 1871310862
Social Worker provider in Lanham, Maryland. Individual provider, active in the CMS NPPES registry since September 23, 2024.
## Identity
- **NPI:** 1871310862 (Entity type: Individual)
- **Enumerated:** September 23, 2024
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 30334 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4303 FORBES BLVD, Lanham, MD 20706-4333
- **Phone:** (443) 438-6742
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sondermind Provider Network LLC (NPI 1760854442, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1871310862) · Data from the CMS NPPES public registry.