Dr Susan Clark, LCSW-S in Ft Worth, TX - Medicare Social Worker Provider

Dr Susan Clark, LCSW-S is a medicare enrolled "Social Worker - Clinical" provider in Ft Worth, Texas. Her current practice location is 1650 W Magnolia Ave, 208, Ft Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 912-8006.

Dr Susan Clark is licensed to practice in Texas (license number 50038) 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 1881754109.

Contact Information

	Dr Susan Clark, LCSW-S
	1650 W Magnolia Ave, 208, Ft Worth, TX 76104-4009
	(817) 912-8006
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Susan Clark
Gender	Female
Speciality	Social Worker - Clinical
Location	1650 W Magnolia Ave, Ft Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881754109
Provider Enumeration Date: 12/08/2006
Last Update Date: 12/16/2022

Medicare PECOS Information:

PECOS PAC ID: 6608186846
Enrollment ID: I20151030001170

Medical Identifiers

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

Identifier	Type	State	Issuer
1881754109	NPI	-	NPPES
1881754109	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	50038 (Texas)	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. Dr Susan Clark allows following entities to bill medicare on her behalf.

Entity Name	Healthtexas Provider Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187

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. Dr Susan 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
Dr Susan Clark, LCSW-S 3101 N Britain Rd, Irving, TX 75062-4559 Ph: (214) 395-7094	Dr Susan Clark, LCSW-S 1650 W Magnolia Ave, 208, Ft Worth, TX 76104-4009 Ph: (817) 912-8006

Reviews and Comments

Social Worker in Ft Worth, TX

Mrs. Anastasia Christina Taylor, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2401 Scott Ave, Ft Worth, TX 76103 Phone: 817-851-2042
Amy Nicole Swan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4780 Jasmine Dr, Ft Worth, TX 76137 Phone: 817-896-9632 Fax: 682-885-7532
Mrs. Karen Hodges Sasser, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2601 Tandy Ave, Ft Worth, TX 76103 Phone: 817-535-1253
Jazmine Hunter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 S Jennings Ave Ste 203, Ft Worth, TX 76104 Phone: 682-282-4228
Portia L Hopkins, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1751 River Run Ste 200, Ft Worth, TX 76107 Phone: 682-990-2866
Sierra D. Mcfan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2332 Beverly Hills Dr, Ft Worth, TX 76114 Phone: 817-378-0855 Fax: 817-378-0861

Dr Susan Clark, LCSW-S - Medicare Clinical Social Worker in Ft Worth, TX