Tori P Clark, LICSW in Brainerd, MN - Medicare Clinical Social Worker Provider

Tori P Clark, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Brainerd, Minnesota. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Lutheran Social Service Of Minnesota and her current practice location is 716 E St Ne, Brainerd, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 828-7379.

Tori P Clark is licensed to practice in Minnesota (license number 27229) 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 1184220725.

Contact Information

	Tori P Clark, LICSW
	716 E St Ne, Brainerd, MN 56401-2857
	(218) 828-7379
	(218) 828-7390

Map and Direction

Healthcare Provider's Profile

Full Name	Tori P Clark
Gender	Female
Speciality	Clinical Social Worker
Experience	6 Years
Location	716 E St Ne, Brainerd, Minnesota
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:

Tori P Clark graduated from medical school in 2018

NPI Data:

NPI Number: 1184220725
Provider Enumeration Date: 12/09/2020
Last Update Date: 12/09/2020

Medicare PECOS Information:

PECOS PAC ID: 9931503851
Enrollment ID: I20210813001604

Medical Identifiers

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

Identifier	Type	State	Issuer
1184220725	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	27229 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lutheran Social Service Of Minnesota	1951202019	8

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. Tori P Clark allows following entities to bill medicare on her behalf.

Entity Name	Lutheran Social Service Of Minnesota
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629192430 PECOS PAC ID: 1951202019 Enrollment ID: O20040205000477

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. Tori P 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
Tori P Clark, LICSW 716 E St Ne, Brainerd, MN 56401-2857 Ph: (218) 828-7379	Tori P Clark, LICSW 716 E St Ne, Brainerd, MN 56401-2857 Ph: (218) 828-7379

Reviews and Comments

Social Worker in Brainerd, MN

Donn C Beaubien, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 Nw 5th St, Brainerd, MN 56401 Phone: 218-829-3235 Fax: 218-829-1368
Miss Barbara Kay Parks, MED, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-828-7379 Fax: 218-828-7390
Mrs. Bethany Rose Nordby, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 823 Maple St, Brainerd, MN 56401 Phone: 218-454-4065 Fax: 218-454-1024
Amanda Mary Kampa, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 823 Maple St, Brainerd, MN 56401 Phone: 218-454-3826 Fax: 218-454-1024
Ashley Marie Heinz, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 823 Maple St, Brainerd, MN 56401 Phone: 218-454-3826 Fax: 218-454-1024
Mr. Shawn S Mcnally, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 823 Maple St, Brainerd, MN 56401 Phone: 218-454-3826 Fax: 218-454-1024
Ms. Lara Royer, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 716 E St Ne, Brainerd, MN 56401 Phone: 218-828-7379 Fax: 218-828-7390

Tori P Clark, LICSW - Medicare Clinical Social Worker in Brainerd, MN