Nicole Lee Clark, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06530800 Issued in NJ

Practice address

9 Warrenton LN
Colts Neck, NJ 07722-1065

Phone

(917) 932-4774

NPI assigned

Aug 12, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Perlman Counseling and Supervision Services LLCGroup PAC ID 8729501903, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Perlman Counseling and Supervision Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manasquan, NJ
  • NPI 1558852376
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1467338996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WARRENTON LN",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221065",
            "telephone_number": "917-932-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WARRENTON LN",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221065",
            "telephone_number": "917-932-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NICOLE",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06530800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Ann Chriss
• Kristi Dina Cilenti, LCSW
• Robert Cioffi, RPH
• Rebecca Cipriano, MD
• John Francis Clabby
• John Vincent Cocchiara, R.PH., C.C.P.
• Michelle Stacey Cohen, ATC
• Colts Neck Anti-Aging Med Center
• Colts Neck Apothecary Inc
• Colts Neck Apothecary Inc

• Clinical Social Worker in Colts Neck, NJ
• Providers in Colts Neck, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.