JOAN MARIE CLARK LCSW
NPI 1881752764
Counselor - Mental Health in Louisville, KY

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
1603 STEVENS AVE, LOUISVILLE, KY 40205(502) 451-5955(502) 451-5925 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joan Marie Clark Lcsw NPPES

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

JOAN MARIE CLARK LCSW (NPI 1881752764) is an individual mental health provider in Louisville, Kentucky, licensed in Kentucky (1444) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clarksville, and is a graduate of University Of Louisville School Of Medicine (1995).

NPPES Registry Identity

NPI1881752764
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJOAN MARIE CLARKCredential: LCSW
Location Address1603 STEVENS AVELouisville, KY 40205-1087
Mailing Address1919 Campus PlaceLouisville, KY 40299 · (502) 253-4924 · Fax (502) 489-5750
Fax(502) 451-5925
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1995
Enumeration DateDecember 4, 2006
Last NPPES UpdateDecember 20, 2024
NPPES CertifiedDecember 16, 2024
NPI 1881752764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in KY · 1444 Licensed in IN · 34004222A
1603 STEVENS AVE, Louisville, KY 40205

Other Names 1

Former Name (1)Joan Marie Pruneski

Secondary Practice Location 1

Location 11455 Cedar St, Suite GClarksville, IN 47129-7700 · Phone (812) 280-1847 · Fax (812) 284-1539

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

Joan Marie 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 ID1355871781
PECOS Enrollment IDI20250217001576
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.

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.

Family Medicine
1603 STEVENS AVE
LOUISVILLE, KY 40205
Family Medicine
1603 STEVENS AVE
LOUISVILLE, KY 40205
Family Medicine
1603 STEVENS AVE
LOUISVILLE, KY 40205
Nurse Practitioner (Adult Health)
1603 STEVENS AVE
LOUISVILLE, KY 40205
Family Medicine
1603 STEVENS AVE
LOUISVILLE, KY 40205
Psychologist (Clinical Child & Adolescent)
1603 STEVENS AVE, SUITE 203
LOUISVILLE, KY 40205
Nurse Practitioner (Family)
1603 STEVENS AVE
LOUISVILLE, KY 40205

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 Joan Clark's NPI number?

The NPI number for Joan Clark is 1881752764. It was assigned to this individual provider in the NPPES registry on December 4, 2006. The provider is also known as Joan Marie Pruneski.

Where is Joan Clark located?

Joan Clark practices at 1603 Stevens Ave, Louisville, KY 40205. The listed phone number is (502) 451-5955.

What is Joan Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Joan Clark enrolled in Medicare?

Yes. Joan 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.

What insurance does Joan Clark accept?

Health plans from UnitedHealthcare list Joan 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 Joan Clark was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.