Andrea Clark
NPI 1508649070 · Clinical Social Worker · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrea Clark is a Clinical Social Worker provider in Fort Wayne, IN (NPI 1508649070).
Provider details
- NPI number
- 1508649070
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- 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
2 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
- 2023-08-17
- Last updated
- 2025-09-03
- Certified
- 2025-09-03
Frequently asked questions
- What is Andrea Clark's NPI number?
- Andrea Clark's National Provider Identifier (NPI) is 1508649070, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrea Clark's specialty?
- Andrea Clark is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Andrea Clark located?
- Andrea Clark's practice location on file with NPPES is 1530 Vance Ave, Fort Wayne, IN 46805-2246.
- What is Andrea Clark's phone number?
- The practice phone number listed in the NPPES registry for Andrea Clark is (260) 200-3988.
- Does Andrea Clark accept Medicare?
- Andrea Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrea Clark's NPI active?
- Yes — Andrea Clark's NPI (1508649070) is active in the NPPES registry as of the last update on 2025-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.