Kimberly Clark, LCSWA in Williamston, NC - Medicare Social Worker Provider

Kimberly Clark, LCSWA is a medicare enrolled "Social Worker - Clinical" provider in Williamston, North Carolina. Her current practice location is 210 W Liberty St, Williamston, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 793-3023.

Kimberly Clark is licensed to practice in North Carolina (license number P018262) 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 1144945783.

Contact Information

	Kimberly Clark, LCSWA
	210 W Liberty St, Williamston, NC 27892-1712
	(252) 793-3023
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Clark
Gender	Female
Speciality	Social Worker - Clinical
Location	210 W Liberty St, Williamston, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144945783
Provider Enumeration Date: 10/06/2022
Last Update Date: 10/06/2022

Medicare PECOS Information:

PECOS PAC ID: 9638549967
Enrollment ID: I20230103002015

Medical Identifiers

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

Identifier	Type	State	Issuer
1144945783	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	P018262 (North Carolina)	Primary

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. Kimberly Clark allows following entities to bill medicare on her behalf.

Entity Name	Martin Tyrrell Washington District Health Department
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194706671 PECOS PAC ID: 8628094646 Enrollment ID: O20051020000940

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. Kimberly 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
Kimberly Clark, LCSWA 210 W Liberty St, Williamston, NC 27892-1712 Ph: (252) 793-3023	Kimberly Clark, LCSWA 210 W Liberty St, Williamston, NC 27892-1712 Ph: (252) 793-3023

Reviews and Comments

Social Worker in Williamston, NC

Eric C Hedberg, LCSW, LCAS-A Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 210 W Liberty St, Williamston, NC 27892 Phone: 252-792-5151
Ms. Rita C. Boyette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Baltimore St, Williamston, NC 27892 Phone: 252-944-6076 Fax: 252-923-0111
Mrs. Latrish Goddard, LCSW, LCASA Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 115 E Main St Ste 17, Williamston, NC 27892 Phone: 252-493-1860
Mrs. Christie Manning Herring, MSW, PLCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 West Liberty Street, Williamston, NC 27892 Phone: 252-792-5151
Ms. Tracy Lynette James, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 607 Washington St, Williamston, NC 27892 Phone: 252-792-8035 Fax: 252-792-8045
Mr. Van David Ray, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 E Main St, 1st Floor Office 1, Williamston, NC 27892 Phone: 252-792-1626 Fax: 252-792-1658

Kimberly Clark, LCSWA - Medicare Clinical Social Worker in Williamston, NC