Individual provider Active NPI

Aimee Clarke, LCSW

  • Clinical Social Worker
  • Plano, TX
National Provider Identifier
1114438314
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
57516 Issued in TX
Practice address
8105 Rasor Blvd Ste 120
Plano, TX 75024-0116
Phone
(816) 258-1987
NPI assigned
Oct 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2010039507 MO
Clinical Social Worker 1041C0700X 57516 TX Primary

Addresses

Primary practice location

8105 Rasor Blvd Ste 120
Plano, TX 75024-0116

Mailing address

13904 Pomegranate Dr
Frisco, TX 75035-7008

Other practice location 1

13904 Pomegranate Dr
Frisco, TX 75035-7008
Phone (816) 258-1987

Other names 1

  • Aimee Fry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180411002403 TX Practitioner - Clinical Social Worker 5597026153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8105 Rasor Blvd
Suite 115
Plano, TX 75024-0335
Phone 21421001600000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010039507MOMDClinical Social Worker
57516TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clarke Counseling, PLLC Clinical CurrentSince Mar 15, 2018 Accepting new patients

Locations

8105 Rasor Blvd
Ste 115
Plano, TX 75024
Phone (214) 210-0160

8105 Rasor Blvd
Ste 120
Plano, TX 75024
Phone (214) 210-0606

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1114438314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13904 POMEGRANATE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750357008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 RASOR BLVD STE 120",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240116",
            "telephone_number": "816-258-1987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13904 Pomegranate Dr",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750357008",
            "country_code": "US",
            "telephone_number": "816-258-1987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "AIMEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2010039507",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "57516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIMEE",
            "last_name": "FRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.