Celestia Luella Clark I, MSW - Medicare Clinical Social Worker in Enterprise, UT

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Celestia Luella Clark I, MSW is a medicare enrolled "Social Worker" provider in Enterprise, Utah. Her current practice location is 249 S 100 E Street, Enterprise, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 231-3657.

Celestia Luella Clark I is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912569021.

Contact Information

Celestia Luella Clark I, MSW
249 S 100 E Street,
Enterprise, UT 84725-7648
(435) 231-3657
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCelestia Luella Clark I
GenderFemale
SpecialitySocial Worker
Location249 S 100 E Street, Enterprise, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912569021
  • Provider Enumeration Date: 06/28/2019
  • Last Update Date: 08/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4183055874
  • Enrollment ID: I20200513001469

Medical Identifiers

Medical identifiers for Celestia Luella Clark I such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912569021NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 10628149-3501 (Utah)Secondary
1041C0700XSocial Worker - Clinical 159355 (Alaska)Secondary
104100000XSocial Worker (* (Not Available))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. Celestia Luella Clark I allows following entities to bill medicare on her behalf.
Entity NameMegan R Wright
Entity TypePractitioner - Mental Health Counselor
Entity IdentifiersNPI Number: 1982256731
PECOS PAC ID: 6204352230
Enrollment ID: I20250502000478

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. Celestia Luella Clark I 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 AddressPractice Location Address
Celestia Luella Clark I, MSW
Po Box 86,
Enterprise, UT 84725-0086

Ph: (435) 231-3657		Celestia Luella Clark I, MSW
249 S 100 E Street,
Enterprise, UT 84725-7648

Ph: (435) 231-3657

Reviews and Comments


Social Worker in Enterprise, UT

Erin Grover, LCSW, TRS, CTRS, SEP
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 148 S 550 E, Enterprise, UT 84725
Phone: 435-817-6116    
David Cacamis,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 709 East Main St., Enterprise, UT 84725
Phone: 435-236-7577    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.