Christopher Clark, LCSW in Nephi, UT - Medicare Social Worker Provider

Christopher Clark, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Nephi, Utah. His current practice location is 944 N Main Street, Nephi, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 623-1456.

Christopher Clark is licensed to practice in Utah (license number 9903821-3501) 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 1528434677.

Contact Information

	Christopher Clark, LCSW
	944 N Main Street, Nephi, UT 84648
	(435) 623-1456
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Christopher Clark
Gender	Male
Speciality	Social Worker - Clinical
Location	944 N Main Street, Nephi, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528434677
Provider Enumeration Date: 08/12/2015
Last Update Date: 06/01/2026

Medicare PECOS Information:

PECOS PAC ID: 1759753163
Enrollment ID: I20230213001835

Medical Identifiers

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

Identifier	Type	State	Issuer
1528434677	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	9903821-3501 (Utah)	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. Christopher Clark allows following entities to bill medicare on his behalf.

Entity Name	Wasatch Behavioral Health Special Service District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356357115 PECOS PAC ID: 2567367915 Enrollment ID: O20031129000014

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. Christopher 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
Christopher Clark, LCSW 152 N 400 W, Ephraim, UT 84627-5549 Ph: (435) 283-8400	Christopher Clark, LCSW 944 N Main Street, Nephi, UT 84648 Ph: (435) 623-1456

Reviews and Comments

Social Worker in Nephi, UT

Rebekah Marie Tucker Barker, CSWI Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 944 N Main Street, Nephi, UT 84648 Phone: 435-623-1456 Fax: 435-623-1127
Taija Mecham, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 944 N Main St, Nephi, UT 84648 Phone: 435-623-1456 Fax: 435-623-1127
Ms. Andralyn Walker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 944 N Main, Nephi, UT 84648 Phone: 435-623-1456
Mindy Jolene Wright, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 944 N Main St, Nephi, UT 84648 Phone: 435-623-1456 Fax: 435-623-1127
Ashton Jacob Seely, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 940 N Main St, Nephi, UT 84648 Phone: 435-623-1456
Misty Lynne Bliss, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 944 North Main Street, Nephi, UT 84648 Phone: 435-623-1456

Christopher Clark, LCSW - Medicare Clinical Social Worker in Nephi, UT