Shelley Lynn Clark, LICSW in Vancouver, WA - Medicare Clinical Social Worker Provider

Shelley Lynn Clark, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Vancouver, Washington. She graduated from medical school in 2009 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Peacehealth and her current practice location is 2513 Nw 117th St, Vancouver, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 991-6272.

Shelley Lynn Clark is licensed to practice in Washington (license number LW61516470) 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 1063235992.

Contact Information

	Shelley Lynn Clark, LICSW
	2513 Nw 117th St, Vancouver, WA 98685-3667
	(360) 991-6272
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shelley Lynn Clark
Gender	Female
Speciality	Clinical Social Worker
Experience	17 Years
Location	2513 Nw 117th St, Vancouver, Washington
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:

Shelley Lynn Clark graduated from medical school in 2009

NPI Data:

NPI Number: 1063235992
Provider Enumeration Date: 11/07/2024
Last Update Date: 12/10/2024

Medicare PECOS Information:

PECOS PAC ID: 2769919737
Enrollment ID: I20250102003422

Medical Identifiers

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

Identifier	Type	State	Issuer
1063235992	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW61516470 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension Sacred Heart Bay	Panama city, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Peacehealth	5890689293	190

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. Shelley Lynn Clark allows following entities to bill medicare on her behalf.

Entity Name	Peacehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272

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. Shelley Lynn 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
Shelley Lynn Clark, LICSW 2513 Nw 117th St, Vancouver, WA 98685-3667 Ph: (360) 991-6272	Shelley Lynn Clark, LICSW 2513 Nw 117th St, Vancouver, WA 98685-3667 Ph: (360) 991-6272

Reviews and Comments

Social Worker in Vancouver, WA

Rachel Krokus, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 E Fourth Plain Blvd, V3satp, Vancouver, WA 98661 Phone: 503-220-8262
Stephanie Bieber, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 Officers Row, Vancouver, WA 98661 Phone: 971-220-5882
Berit Renfro, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3200 Ne 109th Ave, Vancouver, WA 98682 Phone: 360-695-1014
Gayle Dukart-hardy, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Ne Andresen Rd, Suite D-9, Vancouver, WA 98661 Phone: 360-694-8558
Mr. Joseph Melvin Klemz, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1498 Se Tech Center Pl Ste 300, Vancouver, WA 98683 Phone: 360-619-2226 Fax: 360-326-9691
Brody Tucker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12607 Se Mill Plain Blvd, Vancouver, WA 98684 Phone: 360-558-2456
Angela Giacalone, LSWAIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 905 Ne 68th St # B3, Vancouver, WA 98665 Phone: 360-209-2169

Shelley Lynn Clark, LICSW - Medicare Clinical Social Worker in Vancouver, WA