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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912569021.
Healthcare Provider's Profile
Full Name | Celestia Luella Clark I |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 249 S 100 E Street, Enterprise, Utah |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Celestia Luella Clark I attended and graduated from in
NPI Data:
- NPI Number: 1912569021
- Provider Enumeration Date: 06/28/2019
- Last Update Date: 08/13/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Celestia Luella Clark I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912569021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 10628149-3501 (Utah) | Secondary |
1041C0700X | Social Worker - Clinical | 159355 (Alaska) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Primary |
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 Address | Practice 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 |
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