Sonya Clark, LCSW in Carbondale, IL - Medicare Social Worker Provider

Sonya Clark, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Carbondale, Illinois. Her current practice location is 405 W Jackson St, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 549-0721.

Sonya Clark is licensed to practice in Illinois (license number 149024749) 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 1225810682.

Contact Information

	Sonya Clark, LCSW
	405 W Jackson St, Carbondale, IL 62901-1462
	(618) 549-0721
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sonya Clark
Gender	Female
Speciality	Social Worker - Clinical
Location	405 W Jackson St, Carbondale, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225810682
Provider Enumeration Date: 10/19/2023
Last Update Date: 12/01/2023

Medicare PECOS Information:

PECOS PAC ID: 5395191050
Enrollment ID: I20231101000699

Medical Identifiers

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

Identifier	Type	State	Issuer
1225810682	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149024749 (Illinois)	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. Sonya Clark allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Medical Services Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595

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. Sonya 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
Sonya Clark, LCSW Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200	Sonya Clark, LCSW 405 W Jackson St, Carbondale, IL 62901-1462 Ph: (618) 549-0721

Reviews and Comments

Social Worker in Carbondale, IL

Mary L Nash-pyott, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2311 S Illinois Ave, Carbondale, IL 62903 Phone: 618-457-6703 Fax: 618-549-3734
Rachel M Miller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 305 W Jackson St Ste 200, Carbondale, IL 62901 Phone: 618-536-6621 Fax: 618-453-1102
Ashley R Hickam, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 S Wall St, Carbondale, IL 62901 Phone: 618-924-0845
Jodie Kennedy, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3412 S Illinois Ave, Carbondale, IL 62903 Phone: 618-327-1304 Fax: 618-457-8844
Matthew Wilson-leigh, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2311 S Illinois Ave, Carbondale, IL 62903 Phone: 618-457-6703 Fax: 618-549-3734
Carrie Lynn Vine, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 View Valley Dr, Carbondale, IL 62903 Phone: 915-217-8288
Shelby Jo Seegers-schafer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 804 W Main St, Carbondale, IL 62901 Phone: 618-351-1279 Fax: 618-351-6369

Sonya Clark, LCSW - Medicare Clinical Social Worker in Carbondale, IL