Nicole Clark, LCSW
NPI 1467893032 · Mental Health Counselor · Shingletown, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Clark, LCSW is a Mental Health Counselor provider in Shingletown, CA (NPI 1467893032).
Provider details
- NPI number
- 1467893032
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 91794 (CA)
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
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 43423 Division StLancaster, CA 93535-4639Phone: (661) 266-4783Fax: (661) 266-1210
Registry dates
- Enumerated
- 2013-07-11
- Last updated
- 2021-05-21
- Certified
- 2021-05-21
Frequently asked questions
- What is Nicole Clark's NPI number?
- Nicole Clark's National Provider Identifier (NPI) is 1467893032, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Clark's specialty?
- Nicole Clark is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Nicole Clark located?
- Nicole Clark's practice location on file with NPPES is 31292 Alpine Meadows Rd, Shingletown, CA 96088-9462.
- What is Nicole Clark's phone number?
- The practice phone number listed in the NPPES registry for Nicole Clark is (530) 474-3390.
- Does Nicole Clark accept Medicare?
- Nicole Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Clark's NPI active?
- Yes — Nicole Clark's NPI (1467893032) is active in the NPPES registry as of the last update on 2021-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.