Aaron Mikel Clark, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007213 Issued in VA

Practice address

15195 Heathcote Blvd
Suite 350
Haymarket, VA 20169-6242

Phone

(571) 284-3180

Fax

(571) 284-3189

NPI assigned

Jan 7, 2010

Sex

Male

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 VA

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• County of Loudoun, Virginia

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Leesburg, VA
  • NPI 1386753291

  VA

  Medicare reassignment NPD
• County of Loudoun, Virginia

  • State or Local Public Health Clinic/Center
  • Leesburg, VA
  • NPI 1588353569
  NPD
• Magnolia Health Care LLC

  • Family Nurse Practitioner
  • Gambrills, MD
  • NPI 1154139640
  NPD (past)
• Magnolia Health Care LLC

  • Wound Care Registered Nurse
  • Gambrills, MD
  • NPI 1225908445
  NPD (past)

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1487984837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "571-284-3180",
            "fax_number": "571-284-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15195 HEATHCOTE BLVD",
            "address_2": "SUITE 350",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201696242",
            "telephone_number": "571-284-3180",
            "fax_number": "571-284-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "AARON",
        "middle_name": "MIKEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-07",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casper Minds, LLC
• Sharon Cavallaro, CCC-SLP
• Rebecca Paige Cerva, DDS
• Elizabeth Cheney
• Joanne Choi
• Compassus Op of Virginia, LLC
• Comprehensive Chiropractic and Sports Injury Center P C
• Rebecca Rae Cottle-Makhene, LPC
• Geoffrey R Cox, PHARM.D.
• James P Craft III

• All providers in Haymarket, VA
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.