DR. SUSAN CLARK LCSW-S
NPI 1881754109
Social Worker - Clinical in Ft Worth, TX

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment
1650 W MAGNOLIA AVE, 208, FT WORTH, TX 76104(817) 912-8006 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 16, 2022, Jan 27, 2016 (2 updates tracked since 2016).

About Dr. Susan Clark Lcsw-s NPPES

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

DR. SUSAN CLARK LCSW-S (NPI 1881754109) is an individual clinical provider in Ft Worth, Texas, licensed in Texas (50038) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1881754109
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. SUSAN CLARKCredential: LCSW-S
Location Address1650 W MAGNOLIA AVE, 208Ft Worth, TX 76104-4009
Mailing Address3101 N Britain RdIrving, TX 75062-4559 · (214) 395-7094
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 8, 2006
Last NPPES UpdateDecember 16, 20222 updates tracked since enumeration
NPPES CertifiedDecember 16, 2022
NPI 1881754109 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 TX · 50038
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.

1650 W MAGNOLIA AVE, Ft Worth, TX 76104

Other Identifiers 1

Medicaid1881754109TX

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

Dr. Susan Clark Lcsw-s 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 ID6608186846
PECOS Enrollment IDI20151030001170
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 76104 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 $56.47 – $171.07
Typical copayment $0.00 (range $14.11 – $42.76)
Most-billed visit code NA
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 7

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

Family Medicine
1650 W MAGNOLIA AVE, SUITE 202
FORT WORTH, TX 76104
Obstetrics & Gynecology
1650 W MAGNOLIA AVE, SUITE 200
FORT WORTH, TX 76104
Internal Medicine
1650 W MAGNOLIA AVE, SUITE 207
FORT WORTH, TX 76104
Family Medicine
1650 W MAGNOLIA AVE, SUITE 207
FORT WORTH, TX 76104
Internal Medicine
1650 W MAGNOLIA AVE, SUITE 207
FORT WORTH, TX 76104
Family Medicine
1650 W MAGNOLIA AVE, SUITE 202
FORT WORTH, TX 76104
Nurse Practitioner (Family)
1650 W MAGNOLIA AVE, SUITE 207
FORT WORTH, TX 76104

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 Susan Clark's NPI number?

The NPI number for Susan Clark is 1881754109. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Susan Clark located?

Susan Clark practices at 1650 W Magnolia Ave 208, Ft Worth, TX 76104. The listed phone number is (817) 912-8006.

What is Susan Clark's specialty?

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

Is Susan Clark enrolled in Medicare?

Yes. Susan 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 Susan Clark accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Susan 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 Susan Clark was last updated on December 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.