Patrick Jeremiah Clark, MSW - Clinical Social Worker in Waconia, MN

Patrick Jeremiah Clark, MSW is a Social Worker - Clinical based in Waconia, Minnesota. Patrick Jeremiah Clark is licensed to practice in Minnesota (license number 16872LICSW) and his current practice location is 540 E First St, Waconia, Minnesota. He can be reached at his office (for appointments etc.) via phone at (952) 442-4437.

NPI number for Patrick Jeremiah Clark is 1235313388 and his current mailing address is 540 E First St, Waconia, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235313388.

Contact Information

Patrick Jeremiah Clark, MSW
540 E First St,
Waconia, MN 55387-1601
(952) 442-4437
(952) 442-3084

Map and Direction




Healthcare Provider's Profile

Full NamePatrick Jeremiah Clark
GenderMale
SpecialitySocial Worker - Clinical
Location540 E First St, Waconia, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235313388
  • Provider Enumeration Date: 12/26/2007
  • Last Update Date: 12/26/2007

Medical Identifiers

Medical identifiers for Patrick Jeremiah Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235313388NPI-NPPES
HP84895OtherMNHEALTH PARTNERS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 16872LICSW (Minnesota)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. Patrick Jeremiah Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Patrick Jeremiah Clark, MSW
540 E First St,
Waconia, MN 55387-1601

Ph: (952) 442-4437
Patrick Jeremiah Clark, MSW
540 E First St,
Waconia, MN 55387-1601

Ph: (952) 442-4437

Reviews and Comments


Social Worker in Waconia, MN

Sarah Manthei,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 540 E 1st St, Waconia, MN 55387
Phone: 952-442-4437    Fax: 952-442-3084
Kimberly Jo Hendrickson, MSW, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 540 E 1st St, Waconia, MN 55387
Phone: 952-442-4437    Fax: 952-442-3084
Chezni Rang,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 540 E 1st St, Waconia, MN 55387
Phone: 952-442-4437    Fax: 952-442-3084
Ms. Alene Chelman, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 540 E 1st St, Waconia, MN 55387
Phone: 952-442-4437    Fax: 952-442-3084
Emily Kruger, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 540 E 1st St, Waconia, MN 55387
Phone: 952-442-4437    Fax: 952-442-3084
Jason Kosmatka,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 540 E 1st St, Waconia, MN 55387
Phone: 952-442-4437    Fax: 952-442-3084

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.