Mrs Johanna Daniela Clark, LCSW in Collingswood, NJ

Mrs Johanna Daniela Clark, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Collingswood, New Jersey. Her current practice location is 1107 Stokes Ave, Collingswood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 617-1896.

Mrs Johanna Daniela Clark is licensed to practice in New York (license number 093547) 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 1508962408.

Contact Information

	Mrs Johanna Daniela Clark, LCSW
	1107 Stokes Ave, Collingswood, NJ 08108-3307
	(856) 617-1896
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Johanna Daniela Clark
Gender	Female
Speciality	Social Worker - Clinical
Location	1107 Stokes Ave, Collingswood, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508962408
Provider Enumeration Date: 09/16/2006
Last Update Date: 10/01/2025

Medicare PECOS Information:

PECOS PAC ID: 0446696918
Enrollment ID: I20240307001430

Medical Identifiers

Medical identifiers for Mrs Johanna Daniela Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508962408	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	093547 (New York)	Primary
1041C0700X	Social Worker - Clinical	CW015431 (Pennsylvania)	Secondary

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. Mrs Johanna Daniela Clark allows following entities to bill medicare on her behalf.

Entity Name	Inpresent Psychiatry Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699301614 PECOS PAC ID: 4981081601 Enrollment ID: O20220519000341

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. Mrs Johanna Daniela 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
Mrs Johanna Daniela Clark, LCSW 1107 Stokes Ave, Collingswood, NJ 08108-3307 Ph: (856) 617-1896	Mrs Johanna Daniela Clark, LCSW 1107 Stokes Ave, Collingswood, NJ 08108-3307 Ph: (856) 617-1896

Reviews and Comments

Social Worker in Collingswood, NJ

Marie Anntonette Dunlap-pryce, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 566 Haddon Ave, Collingswood, NJ 08108 Phone: 856-858-9314 Fax: 856-858-5672
Catherine Westerduin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 580 Haddon Ave, Collingswood, NJ 08108 Phone: 201-745-7162
Sally Westbrook, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 506 Tatem Ave, Collingswood, NJ 08108 Phone: 717-574-2962
Edmund Vincent, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 566 Haddon Ave, Collingswood, NJ 08108 Phone: 856-858-9314 Fax: 856-858-5672
Rebecca Elizabeth Clark, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 168 Fern Ave, Collingswood, NJ 08108 Phone: 732-310-7343
Kristin S Nicely Colangelo, LCSW, LCADC, CCS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13 W Madison Ave, Collingswood, NJ 08108 Phone: 609-405-7037

Mrs Johanna Daniela Clark, LCSW - Medicare Clinical Social Worker in Collingswood, NJ