Ms Eileen J Clark, MSW, LCSW in Lawrenceville, NJ - Medicare Social Worker Provider

Ms Eileen J Clark, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lawrenceville, New Jersey. Her current practice location is 22 Gordon Ave, Lawrenceville, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 844-0452.

Ms Eileen J Clark is licensed to practice in New Jersey (license number 44SC06221100) 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 1205104049.

Contact Information

	Ms Eileen J Clark, MSW, LCSW
	22 Gordon Ave, Lawrenceville, NJ 08648-1033
	(609) 844-0452
	(609) 844-0518

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Eileen J Clark
Gender	Female
Speciality	Social Worker - Clinical
Location	22 Gordon Ave, Lawrenceville, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205104049
Provider Enumeration Date: 12/08/2011
Last Update Date: 03/25/2024

Medicare PECOS Information:

PECOS PAC ID: 5991971434
Enrollment ID: I20120104000361

Medical Identifiers

Medical identifiers for Ms Eileen J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205104049	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	44SC06221100 (New Jersey)	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. Ms Eileen J Clark allows following entities to bill medicare on her behalf.

Entity Name	Mindful Lotus Therapy Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871231571 PECOS PAC ID: 6709264369 Enrollment ID: O20220609002941

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. Ms Eileen J 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
Ms Eileen J Clark, MSW, LCSW Po Box 6573, Lawrenceville, NJ 08648-0573 Ph: (609) 844-0452	Ms Eileen J Clark, MSW, LCSW 22 Gordon Ave, Lawrenceville, NJ 08648-1033 Ph: (609) 844-0452

Reviews and Comments

Social Worker in Lawrenceville, NJ

David Albert Kensler, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2550 Brunswick Pike, Lawrenceville, NJ 08648 Phone: 609-396-8877
Emily Jalajas, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4 Princess Rd Ste 206, Lawrenceville, NJ 08648 Phone: 609-482-3701
Gregory Smola, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4 Princess Rd Ste 206, Lawrenceville, NJ 08648 Phone: 609-482-3701
Jennifer L Ditrapani, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 22 Gordon Ave, Lawrenceville, NJ 08648 Phone: 609-844-0452
Mr. Joseph Mcbride, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2999 Princeton Pike, Suite 5, Lawrenceville, NJ 08648 Phone: 609-771-6737 Fax: 609-882-9462
Ms. Rosemary Orocchi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3100 Princeton Pike, Suite 4c, Lawrenceville, NJ 08648 Phone: 609-216-2086 Fax: 609-324-3855
Mischelle Kristofor, LCSW,LCADC,CCS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 Princess Rd Ste 208, Lawrenceville, NJ 08648 Phone: 561-865-5896

Ms Eileen J Clark, MSW, LCSW - Medicare Clinical Social Worker in Lawrenceville, NJ