1. Home
  2. Directory
  3. Massachusetts
  4. Northampton
  5. Social Worker
  6. NPI Profile

KELLY CLARK LICSW
NPI 1881715068
Social Worker - Clinical in Northampton, MA

Active since April 03, 2007PECOS Enrolled
425 PROSPECT ST, NORTHAMPTON, MA 01060(413) 727-2640 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Clark Licsw NPPES

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

KELLY CLARK LICSW (NPI 1881715068) is an individual clinical provider in Northampton, Massachusetts and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881715068
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY CLARKCredential: LICSW
Location Address425 PROSPECT STNorthampton, MA 01060-2046
Mailing Address425 Prospect StNorthampton, MA 01060-2046 · (413) 727-2640
Phone(413) 727-2640
Sole ProprietorNo
Enumeration DateApril 3, 2007
Last NPPES UpdateJanuary 23, 2019
✔ NPI 1881715068 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
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 ListedSocial WorkerTaxonomy 104100000X
425 PROSPECT ST, Northampton, MA 01060
Open in Google Maps ↗

Other Identifiers 2

Other0300010MA · Mbhp
Medicaid1300881MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan.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)

Kelly 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 01060 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 $58.86 – $177.36
Typical copayment $0.00 (range $14.71 – $44.34)
Most-billed visit code NA
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NONOTUCK RESOURCE ASSOCIATES, INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
425 PROSPECT ST
NORTHAMPTON, MA 01060
Hampshire County (413) 586-5256

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 Kelly Clark's NPI number?

The NPI number for Kelly Clark is 1881715068. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Kelly Clark located?

Kelly Clark practices at 425 Prospect St, Northampton, MA 01060. The listed phone number is (413) 727-2640.

What is Kelly Clark's specialty?

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

Is Kelly Clark enrolled in Medicare?

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

What insurance does Kelly Clark accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Kelly 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 Kelly Clark was last updated on January 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.