Jennifer Clark, LCSW
NPI 1770893786 · Clinical Social Worker · Petaluma, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Clark, LCSW is a Clinical Social Worker provider in Petaluma, CA (NPI 1770893786).
Provider details
- NPI number
- 1770893786
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- ASW19290 (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
15 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
- 2010-10-13
- Last updated
- 2021-12-30
Frequently asked questions
- What is Jennifer Clark's NPI number?
- Jennifer Clark's National Provider Identifier (NPI) is 1770893786, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Clark's specialty?
- Jennifer Clark is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jennifer Clark located?
- Jennifer Clark's practice location on file with NPPES is 1301 Southpoint Blvd, Petaluma, CA 94954-6867.
- What is Jennifer Clark's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Clark is (707) 559-7500.
- Does Jennifer Clark accept Medicare?
- Jennifer Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Clark's NPI active?
- Yes — Jennifer Clark's NPI (1770893786) is active in the NPPES registry as of the last update on 2021-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.