Rebecca Sue Clark, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05570 Issued in KS

Practice address

205 E 7TH St Ste 154
Hays, KS 67601-4907

Phone

(785) 734-0447

Fax

(620) 805-6933

NPI assigned

Sep 21, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

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.

• Still Waters Christian Counseling

  • Clinical Social Worker
  • Hays, KS
  • NPI 1861378341
  NPD Authorized official

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1851875207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 WILLOW ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011727",
            "telephone_number": "719-289-8743",
            "fax_number": "785-734-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 7TH ST STE 154",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676014907",
            "telephone_number": "785-734-0447",
            "fax_number": "620-805-6933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 FLEMING ST STE 5",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678466162",
            "country_code": "US",
            "telephone_number": "785-734-0447",
            "fax_number": "620-805-6933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "05570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Chaney
• Gulraiz A. Cheema, M.D.
• Nikki Kay Cherryholmes, APRN
• Bed P Chhatkuli
• Lyle J Christensen, MSED, ATC, LAT
• Roger William Clark, PHARMD
• Theresa Marie Clark, LPC, RPT, NCC
• Andrea Clarkson, APRN
• Shari Lisa Claude, MD
• Richard Burns Clausing Jr., P.A.

• Clinical Social Worker in Hays, KS
• Providers in Hays, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.