Kelly Clark
NPI 1073083788 · Clinical Social Worker · Vestal, NY
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Clark is a Clinical Social Worker provider in Vestal, NY (NPI 1073083788).
Provider details
- NPI number
- 1073083788
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 075351 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-11-26
- Last updated
- 2018-11-26
Frequently asked questions
- What is Kelly Clark's NPI number?
- Kelly Clark's National Provider Identifier (NPI) is 1073083788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Clark's specialty?
- Kelly Clark is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kelly Clark located?
- Kelly Clark's practice location on file with NPPES is 1715 Castle Gardens Rd, Vestal, NY 13850-1175.
- What is Kelly Clark's phone number?
- The practice phone number listed in the NPPES registry for Kelly Clark is (607) 341-7017.
- Does Kelly Clark accept Medicare?
- Kelly Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Clark's NPI active?
- Yes — Kelly Clark's NPI (1073083788) is active in the NPPES registry as of the last update on 2018-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.