Anthony Clark, LCSW in Woodbridge, VA - Medicare Social Worker Provider

Anthony Clark, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Woodbridge, Virginia. His current practice location is 3369 Esquarre Ct, Woodbridge, Virginia. You can reach out to his office (for appointments etc.) via phone at (571) 205-0344.

Anthony Clark is licensed to practice in Virginia (license number 0904007949) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902497977.

Contact Information

	Anthony Clark, LCSW
	3369 Esquarre Ct, Woodbridge, VA 22193-1026
	(571) 205-0344
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Anthony Clark
Gender	Male
Speciality	Social Worker - Clinical
Location	3369 Esquarre Ct, Woodbridge, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902497977
Provider Enumeration Date: 02/01/2021
Last Update Date: 02/01/2021

Medicare PECOS Information:

PECOS PAC ID: 3577971399
Enrollment ID: I20210415002690

Medical Identifiers

Medical identifiers for Anthony Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902497977	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904007949 (Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Anthony Clark allows following entities to bill medicare on his behalf.

Entity Name	Myspectrum Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174029359 PECOS PAC ID: 5799027843 Enrollment ID: O20190422001369

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anthony Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Anthony Clark, LCSW 3369 Esquarre Ct, Woodbridge, VA 22193-1026 Ph: (571) 205-0344	Anthony Clark, LCSW 3369 Esquarre Ct, Woodbridge, VA 22193-1026 Ph: (571) 205-0344

Reviews and Comments

Social Worker in Woodbridge, VA

Ana-alicia Farrar Brown, LICSW, LCSW, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Neabsco Common Place Suite 101, Woodbridge, VA 22191 Phone: 571-412-1006
Ms. Pamela Jean Royalty, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14450 Smoketown Rd, Woodbridge Behavioral Health Clinic, Woodbridge, VA 22192 Phone: 703-551-4720
Ms. Mary Mischtschuk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12721 Darby Brook Ct Ste 102, Woodbridge, VA 22192 Phone: 703-879-5144 Fax: 703-879-5860
Jacqueline Rodriguez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4379 Ridgewood Center Dr, Suite 4013, Woodbridge, VA 22192 Phone: 703-680-7950 Fax: 703-680-7953
Karlisha J Lattibeaudere, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15941 Donald Curtis Dr Ste 200, Woodbridge, VA 22191 Phone: 703-792-7800 Fax: 703-792-5699
Ms. Wendy Sheila Radding, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4000 Genesee Pl, Suite 109, Woodbridge, VA 22192 Phone: 703-583-7504 Fax: 703-583-7507
Sophia Loren Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15255 Sloop Ct, Woodbridge, VA 22193 Phone: 571-328-2039

Anthony Clark, LCSW - Medicare Clinical Social Worker in Woodbridge, VA