Candace Clark
NPI 1619534203 · Clinical Social Worker · Blue Island, IL
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Candace Clark is a Clinical Social Worker provider in Blue Island, IL (NPI 1619534203).
Provider details
- NPI number
- 1619534203
- 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
7 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
- 2019-05-20
- Last updated
- 2021-12-03
- Certified
- 2021-12-03
Frequently asked questions
- What is Candace Clark's NPI number?
- Candace Clark's National Provider Identifier (NPI) is 1619534203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Candace Clark's specialty?
- Candace Clark is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Candace Clark located?
- Candace Clark's practice location on file with NPPES is 13136 Western Ave, Blue Island, IL 60406-2423.
- What is Candace Clark's phone number?
- The practice phone number listed in the NPPES registry for Candace Clark is (708) 974-5864.
- Does Candace Clark accept Medicare?
- Candace Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Candace Clark's NPI active?
- Yes — Candace Clark's NPI (1619534203) is active in the NPPES registry as of the last update on 2021-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.