CELESTIA LUELLA CLARK I MSW
NPI 1912569021
Social Worker in Enterprise, UT

Active since June 28, 2019PECOS Enrolled
249 S 100 E STREET, ENTERPRISE, UT 84725(435) 231-3657 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Celestia Luella Clark I Msw NPPES

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

CELESTIA LUELLA CLARK I MSW (NPI 1912569021) is an individual social worker in Enterprise, Utah and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912569021
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCELESTIA LUELLA CLARK ICredential: MSW
Location Address249 S 100 E STREETEnterprise, UT 84725-7648
Mailing AddressPo Box 86Enterprise, UT 84725-0086 · (435) 231-3657 · Fax (907) 262-9290
Sole ProprietorNo
Enumeration DateJune 28, 2019
Last NPPES UpdateAugust 13, 2025
NPPES CertifiedAugust 8, 2025
NPI 1912569021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 10628149-3501 (UT), 159355 (AK)
249 S 100 E STREET, Enterprise, UT 84725

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 (PECOS)

Celestia Luella Clark I Msw 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.

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 Celestia Clark's NPI number?

The NPI number for Celestia Clark is 1912569021. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Celestia Clark located?

Celestia Clark practices at 249 S 100 E Street, Enterprise, UT 84725. The listed phone number is (435) 231-3657.

What is Celestia Clark's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Celestia Clark enrolled in Medicare?

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

What insurance does Celestia Clark accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Celestia 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 Celestia Clark was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.