Kelli Marie Clark, - Medicare Clinical Social Worker in Massena, NY

Kelli Marie Clark, is a medicare enrolled "Social Worker - Clinical" provider in Massena, New York. Her current practice location is 23 Maple St, Massena, New York. You can reach out to her office (for appointments etc.) via phone at (315) 769-8441.

Kelli Marie Clark is licensed to practice in New York (license number R054044-1) 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 1104196815.

Contact Information

Kelli Marie Clark,
23 Maple St,
Massena, NY 13662-1017
(315) 769-8441
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelli Marie Clark
GenderFemale
SpecialitySocial Worker - Clinical
Location23 Maple St, Massena, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104196815
  • Provider Enumeration Date: 01/11/2012
  • Last Update Date: 04/24/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0749541217
  • Enrollment ID: I20180223002093

Medical Identifiers

Medical identifiers for Kelli Marie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104196815NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical R054044-1 (New York)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. Kelli Marie 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 AddressPractice Location Address
Kelli Marie Clark,
23 Maple St,
Massena, NY 13662-1017

Ph: () -
Kelli Marie Clark,
23 Maple St,
Massena, NY 13662-1017

Ph: (315) 769-8441

Reviews and Comments


Social Worker in Massena, NY

Mr. Scott Allen Bennett, LCSW, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 73 Spruce St, Massena, NY 13662
Phone: 315-600-8636    Fax: 315-365-5600
Ms. Mary Ann Vanbuskirk, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 73 Bishop Ave, Massena, NY 13662
Phone: 315-764-7349    
Cynthia Marie Babbitt, LCSWR
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 23 Maple St, Massena, NY 13662
Phone: 315-769-8441    Fax: 315-769-3902
Athena Marie Curley, L.M.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 23 Maple St, Massena, NY 13662
Phone: 315-769-8441    Fax: 315-769-3902
Joan Sharon Delarm, MSW LCSWR ACSW DCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 74 Andrews St, Massena, NY 13662
Phone: 315-764-9033    Fax: 315-764-9033
Mr. George Lesher Vanbuskirk, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 23 Maple St, Massena, NY 13662
Phone: 315-769-8441    Fax: 315-769-3902

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.