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MELISSA A CLARK LCSW
NPI 1982054862
Social Worker - Clinical in Chicago, IL

Active since June 21, 2016PECOS EnrolledAccepts Medicare Assignment
3433 W MADISON ST, CHICAGO, IL 60624(773) 242-2299 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, Nov 2, 2022, Jun 21, 2016 (3 updates tracked since 2016).

About Melissa A Clark Lcsw NPPES

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

MELISSA A CLARK LCSW (NPI 1982054862) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.010742) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1982054862
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELISSA A CLARKCredential: LCSW
Location Address3433 W MADISON STChicago, IL 60624-2895
Mailing AddressPo Box 746715Atlanta, GA 30374-6715 · (773) 352-1515 · Fax (312) 929-0373
Phone(773) 242-2299
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 21, 2016
Last NPPES UpdateJune 11, 20253 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1982054862 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 IL · 149.010742
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.
3433 W MADISON ST, Chicago, IL 60624
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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 and accepts Medicare assignment

Melissa A 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 ID6800264110
PECOS Enrollment IDI20221117001414
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 60624 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 5

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

KATHERINE RENEE DAVIS DNP
Nurse Practitioner
3433 W MADISON ST
CHICAGO, IL 60624
Cook County (773) 242-2299
ADNAN ABDUR RAZZAQUE
Internal Medicine
3433 W MADISON ST
CHICAGO, IL 60624
Cook County (773) 242-2299
DR. SHAZIA SHIVJI MD
Internal Medicine
3433 W MADISON ST
CHICAGO, IL 60624
Cook County (773) 242-2299
MEGAN WHITLEY HATCHER M.D.
Family Medicine
3433 W MADISON ST
CHICAGO, IL 60624
Cook County (773) 242-2299
DR. JAMES GABRIEL HODGES M.D.
Internal Medicine
3433 W MADISON ST
CHICAGO, IL 60624
Cook County (773) 242-2299

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 Melissa Clark's NPI number?

The NPI number for Melissa Clark is 1982054862. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Melissa Clark located?

Melissa Clark practices at 3433 W Madison St, Chicago, IL 60624. The listed phone number is (773) 242-2299.

What is Melissa Clark's specialty?

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

Is Melissa Clark enrolled in Medicare?

Yes. Melissa 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.

When was this NPI record last updated?

The NPPES record for Melissa Clark was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.