Lynn Davis Clark, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3724 Issued in LA

Practice address

5505 John Eskew Blvd
Alexandria, LA 71303-3725

Phone

(318) 767-0651

Fax

(318) 767-0652

NPI assigned

Aug 29, 2006

Last updated

Nov 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hari Srinivasa

  dba Louisiana Autism Center

  • Assistant Behavior Analyst
  • Alexandria, LA
  • NPI 1619693934
  Medicare reassignment NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479600000000",
    "number": "1699883512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 JOHN ESKEW BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033725",
            "telephone_number": "318-767-0651",
            "fax_number": "318-767-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 JOHN ESKEW BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033725",
            "telephone_number": "318-767-0651",
            "fax_number": "318-767-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LYNN",
        "middle_name": "DAVIS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "3724",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1188999",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Edwina Cieslak, N.P.
• Amie Clark, LPC
• Bridget M Clark, NP-C
• Jaquanna Clark
• John L Clark Jr., MD
• Monica Lynn Clark
• Yvarra Clark, MSW
• Cassidy Clay
• Kimberly D Clayton-Harris
• Amber Thomas Clayton, FNP-C

• Clinical Social Worker in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2016; 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.