Mrs Kim Clark, LICSW - Clinical Social Worker in South Royalton, VT

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Mrs Kim Clark, LICSW is a Social Worker - Clinical based in South Royalton, Vermont. Mrs Kim Clark is licensed to practice in Vermont (license number 0890000559) and her current practice location is 226 Leonard Rd, South Royalton, Vermont. She can be reached at her office (for appointments etc.) via phone at (802) 763-8773.

NPI number for Mrs Kim Clark is 1508074311 and her current mailing address is 226 Leonard Rd, South Royalton, Vermont. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508074311.

Contact Information

Mrs Kim Clark, LICSW
226 Leonard Rd,
South Royalton, VT 05068-9565
(802) 763-8773
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kim Clark
GenderFemale
SpecialitySocial Worker - Clinical
Location226 Leonard Rd, South Royalton, Vermont
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508074311
  • Provider Enumeration Date: 05/18/2007
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Mrs Kim Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508074311NPI-NPPES
OVN2222MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 101057 (Massachusetts)Secondary
1041C0700XSocial Worker - Clinical 0890000559 (Vermont)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. Mrs Kim 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
Mrs Kim Clark, LICSW
226 Leonard Rd,
South Royalton, VT 05068-9565

Ph: (802) 763-8773		Mrs Kim Clark, LICSW
226 Leonard Rd,
South Royalton, VT 05068-9565

Ph: (802) 763-8773

Reviews and Comments


Social Worker in South Royalton, VT

Amanda Enright, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1361 Back River Rd, South Royalton, VT 05068
Phone: 802-356-1773    

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.