Active NPI
Christina Anna Clarke, LCSW
- Clinical Social Worker
- Teecnospos, AZ
National Provider Identifier
1992937494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC18255
- Practice address
- US Hwy 160 & Navajo Route 35
Teecnospos, AZ 86514 - Phone
- (928) 656-5000
- NPI assigned
- Aug 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC18255 | ME | Primary |
Addresses
Primary practice location
US Hwy 160 & Navajo Route 35
Teecnospos, AZ 86514
Mailing address
HC 61 Box 30
Teec Nos Pos, AZ 86514-9600
Phone (928) 656-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
US Hwy 160 and Navajo Route 35-Red Mesa
Teecnospos, AZ 86514
Phone (928) 656-5165
Hospital & facility affiliations
- Northern Navajo Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.26 of 100
- Quality
- 74.27
- Improvement activities
- 40
- Cost
- 78.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC18255 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Frontier Health | Past | Accepting new patients | |
| DHHS PHS Naihs Shiprock Hospital | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
-
- Durable Medical Equipment & Medical Supplies
- Teecnospos, AZ
- NPI 1215083951
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1093958944
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
-
- General Acute Care Hospital
- Sanostee, NM
- NPI 1083839476
-
- General Acute Care Hospital
- Bloomfield, NM
- NPI 1760427587
-
- General Acute Care Hospital
- Shiprock, NM
- NPI 1780639971
-
- General Acute Care Hospital
- Toadlena, NM
- NPI 1952526337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1992937494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 61 BOX 30",
"city": "TEEC NOS POS",
"state": "AZ",
"postal_code": "865149600",
"telephone_number": "928-656-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "US HWY 160 & NAVAJO ROUTE 35",
"city": "TEECNOSPOS",
"state": "AZ",
"postal_code": "86514",
"telephone_number": "928-656-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "CHRISTINA",
"middle_name": "ANNA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-17",
"last_updated": "2023-01-24",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC18255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Teecnospos, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.