Gina Kay Clarke
Individual provider Active NPI Clinical Social Worker · Warsaw, IL
NPI 1134571607 · NPPES record last updated Jul 31, 2025
Key facts
- NPI
- 1134571607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149016276 (IL)
- Practice address
- 310 Main St
Warsaw, IL 62379-1245 - Phone
- (309) 431-1982
- NPI assigned
- Jul 8, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081358 | IA | MD | Clinical Social Worker |
| 149016276 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149016276 | IL | Yes |
| Clinical Social Worker | 1041C0700X | 081358 | IA |
Addresses
Primary practice location
310 Main St
Warsaw, IL 62379-1245
Mailing address
310 Main St
Warsaw, IL 62379-1245
Phone (309) 431-1982
Other practice location 1
905 Clark St
Warsaw, IL 62379-1331
Phone (217) 617-6727
Other practice location 2
540 Mill St
Warsaw, IL 62379-1731
Phone (217) 617-6727
Other providers in Warsaw, IL
- Blessing Corporate Services Inc
- Blessing Hospital
- Community Health Centers of Southeastern Iowa Inc
- Brianna Grotts
- Teresa Metzger
- Eliot M Nissenbaum
- Richard Lewis O'Halloran
All providers in Warsaw, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.