DOMINIQUE MONCHE' CLARK LCSW
NPI 1871345892
Social Worker - Clinical in Walls, MS

Active since April 03, 2024PECOS EnrolledAccepts Medicare Assignment
6551 ANNA MAY DR, WALLS, MS 38680(901) 359-1283 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 19, 2025, Apr 3, 2024 (2 updates tracked since 2024).

About Dominique Monche' Clark Lcsw NPPES

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

DOMINIQUE MONCHE' CLARK LCSW (NPI 1871345892) is an individual clinical provider in Walls, Mississippi, licensed in Mississippi (C10935) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1871345892
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDOMINIQUE MONCHE' CLARKCredential: LCSW
Location Address6551 ANNA MAY DRWalls, MS 38680-9214
Mailing Address6551 Anna May DrWalls, MS 38680-9214 · (901) 359-1283
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 3, 2024
Last NPPES UpdateMay 19, 20252 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
NPI 1871345892 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 MS · C10935
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.

6551 ANNA MAY DR, Walls, MS 38680

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 and accepts Medicare assignment

Dominique Monche' Clark Lcsw 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 ID8426577636
PECOS Enrollment IDI20250521001200, I20260114003595
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 38680 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 $51.65 – $159.18
Typical copayment $0.00 (range $12.91 – $39.79)
Most-billed visit code NA
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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

The NPI number assigned to this healthcare provider is 1871345892, enumerated as an "individual" on April 03, 2024.

The provider is located at 6551 ANNA MAY DR WALLS, MS 38680 and the phone number is (901) 359-1283.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Oscar Insurance Company and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.