Tracy Lynn Clark, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2607798 Issued in OH

Practice address

6575 Ashton LN
Solon, OH 44139-3213

Phone

(440) 668-8564

NPI assigned

Jun 7, 2023

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 OH

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Berko Psychological Associates, IncGroup PAC ID 0547217440, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Berko Psychological Associates, Inc

  • Psychologist
  • Solon, OH
  • NPI 1700891413

  Social Worker

  Medicare reassignment Care Compare group NPD
• Berko Psychological Associates, Inc.

  • Family Nurse Practitioner
  • Solon, OH
  • NPI 1689712739
  NPD

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1730873167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6575 ASHTON LN",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393213",
            "telephone_number": "440-668-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 ASHTON LN",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393213",
            "telephone_number": "440-668-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2607798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chivonna Childs, PHD
• Chiropractic Center of Solon, Inc.
• Barbara A. Choudhury, M.A., CCC-SLP
• Charles David Christian Jr.
• City of Solon
• Jana Clarke, PH.D.
• Cleveland Clinic
• Cleveland Clinic Foundation
• Nichole M Cobb, LISW-S, OCPC
• Kimberly Anne Cohen, LISW

• Clinical Social Worker in Solon, OH
• Providers in Solon, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.