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MR. BRANDON W. CLARK LCSW
NPI 1932561115
Social Worker - Clinical in Lewiston, ID

Active since March 25, 2016PECOS Enrolled
0309 2ND ST, LEWISTON, ID 83501(208) 717-4453(855) 564-1778 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 14, 2021, Sep 16, 2021, Feb 7, 2020 and 2 more (5 updates tracked since 2016).

About Mr. Brandon W. Clark Lcsw NPPES

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

MR. BRANDON W. CLARK LCSW (NPI 1932561115) is an individual clinical provider in Lewiston, Idaho, licensed in Idaho (LCSW 35356) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932561115
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. BRANDON W. CLARKCredential: LCSW
Location Address0309 2ND STLewiston, ID 83501-2163
Mailing Address2140 13th StLewiston, ID 83501-3947 · (208) 717-4453 · Fax (855) 564-1778
Phone(208) 717-4453
Fax(855) 564-1778
Sole ProprietorYes
Enumeration DateMarch 25, 2016
Last NPPES UpdateOctober 14, 20215 updates tracked since enumeration
NPPES CertifiedOctober 14, 2021
✔ NPI 1932561115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in ID · LCSW 35356✔ Licensed in WA · LW61085980
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.
0309 2ND ST, Lewiston, ID 83501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Brandon W. Clark Lcsw 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 83501 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 $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 4

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

MS. SANDRA D. GODFREY MA, LCPC, LMFT
Marriage & Family Therapist
0309 2ND ST
LEWISTON, ID 83501
Nez Perce County (208) 746-0137
ADAM KLAPPENBACH MS, EDS
Marriage & Family Therapist
0309 2ND ST
LEWISTON, ID 83501
Nez Perce County (208) 305-5994
OVERCOMER CHRISTIAN COUNSELING
Counselor (Mental Health)
0309 2ND ST
LEWISTON, ID 83501
Nez Perce County (208) 746-0137
HILLARY RODGERS
Counselor
0309 2ND ST
LEWISTON, ID 83501
Nez Perce County (208) 746-0137

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 Brandon Clark's NPI number?

The NPI number for Brandon Clark is 1932561115. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Where is Brandon Clark located?

Brandon Clark practices at 0309 2nd St, Lewiston, ID 83501. The listed phone number is (208) 717-4453.

What is Brandon Clark's specialty?

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

Is Brandon Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brandon Clark was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.