Kevin Clark
NPI 1104255546 · Social Worker · East Orange, NJ
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Clark is a Social Worker provider in East Orange, NJ (NPI 1104255546).
Provider details
- NPI number
- 1104255546
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
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
12 yrs in NPPES registry
- Profile completeness38% of score
83% 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
- 2013-11-06
- Last updated
- 2013-11-06
Frequently asked questions
- What is Kevin Clark's NPI number?
- Kevin Clark's National Provider Identifier (NPI) is 1104255546, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Clark's specialty?
- Kevin Clark is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Kevin Clark located?
- Kevin Clark's practice location on file with NPPES is 385 Tremont Ave, East Orange, NJ 07018-1023.
- What is Kevin Clark's phone number?
- The practice phone number listed in the NPPES registry for Kevin Clark is (973) 676-1000.
- Does Kevin Clark accept Medicare?
- Kevin Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Clark's NPI active?
- Yes — Kevin Clark's NPI (1104255546) is active in the NPPES registry as of the last update on 2013-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.