DOMINIQUE MONCHE' CLARK LCSW
NPI 1871345892
Social Worker - Clinical in Walls, MS
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
Specialties & Licenses
Accepted Insurance
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
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.
Medicare Billing Reassignments
5Medicare enrollment records show Dominique Clark reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenville, MS 38703
- Reassigned Medicare billing, Mississippi enrollment
- 164 clinicians in this Medicare group
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 89 clinicians in this Medicare group
Jackson, MS 39204
- Reassigned Medicare billing, Mississippi enrollment
- 170 clinicians in this Medicare group
Vicksburg, MS 39180
- Reassigned Medicare billing, Mississippi enrollment
- 180 clinicians in this Medicare group
Siloam Springs, AR 72761
- Reassigned Medicare billing, Arkansas enrollment
- 78 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.
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.
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 Dominique Clark's NPI number?
The NPI number for Dominique Clark is 1871345892. It was assigned to this individual provider in the NPPES registry on April 3, 2024.
Where is Dominique Clark located?
Dominique Clark practices at 6551 Anna May Dr, Walls, MS 38680. The listed phone number is (901) 359-1283.
What is Dominique Clark's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Dominique Clark enrolled in Medicare?
Yes. Dominique 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 organizations bill Medicare for Dominique Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Clark reassigns Medicare benefits to 5 organizations: Uppal Medical Center LLC (Greenville, MS), Mdb Care Management LLC (Flowood, MS), Minor Med Care, LLC (Jackson, MS), Mdb Behavioral Health Services LLC (Vicksburg, MS) and Supportive Psych Care Of Arkansas PA (Siloam Springs, AR). Each 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 Dominique Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dominique Clark accept?
Health plans from UnitedHealthcare list Dominique 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 Dominique Clark was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Dominique Monche' Clark, LCSW · NPI 1871345892
Clinical provider in Walls, Mississippi. Individual provider, active in the CMS NPPES registry since April 3, 2024.
## Identity
- **NPI:** 1871345892 (Entity type: Individual)
- **Enumerated:** April 3, 2024
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** C10935 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6551 ANNA MAY DR, Walls, MS 38680-9214
- **Phone:** (901) 359-1283
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Uppal Medical Center LLC (NPI 1558927905, Greenville, MS); Mdb Care Management LLC (NPI 1144925272, Flowood, MS); Minor Med Care, LLC (NPI 1407968738, Jackson, MS); Mdb Behavioral Health Services LLC (NPI 1669835310, Vicksburg, MS); Supportive Psych Care Of Arkansas PA (NPI 1437887437, Siloam Springs, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** May 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1871345892) · Data from the CMS NPPES public registry.