Annette Clark, LICSW
NPI 1366828477 · Clinical Social Worker · Bryan, TX
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Annette Clark, LICSW is a Clinical Social Worker provider in Bryan, TX (NPI 1366828477).
Provider details
- NPI number
- 1366828477
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 11843 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
10 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
- 2015-07-31
- Last updated
- 2024-05-06
- Certified
- 2024-05-06
Frequently asked questions
- What is Annette Clark's NPI number?
- Annette Clark's National Provider Identifier (NPI) is 1366828477, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Annette Clark's specialty?
- Annette Clark is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Annette Clark located?
- Annette Clark's practice location on file with NPPES is 2900 E 29th St, Bryan, TX 77802-2622.
- What is Annette Clark's phone number?
- The practice phone number listed in the NPPES registry for Annette Clark is (979) 776-8400.
- Does Annette Clark accept Medicare?
- Annette Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Annette Clark's NPI active?
- Yes — Annette Clark's NPI (1366828477) is active in the NPPES registry as of the last update on 2024-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.