Dominique Clark, LCSW
NPI 1871345892 · Clinical Social Worker · Walls, MS
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dominique Clark, LCSW is a Clinical Social Worker provider in Walls, MS (NPI 1871345892).
Provider details
- NPI number
- 1871345892
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- C10935 (MS)
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
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
- 2024-04-03
- Last updated
- 2025-05-19
- Certified
- 2025-05-19
Frequently asked questions
- What is Dominique Clark's NPI number?
- Dominique Clark's National Provider Identifier (NPI) is 1871345892, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dominique Clark's specialty?
- Dominique Clark is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Dominique Clark located?
- Dominique Clark's practice location on file with NPPES is 6551 Anna May Dr, Walls, MS 38680-9214.
- What is Dominique Clark's phone number?
- The practice phone number listed in the NPPES registry for Dominique Clark is (901) 359-1283.
- Does Dominique Clark accept Medicare?
- Dominique Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dominique Clark's NPI active?
- Yes — Dominique Clark's NPI (1871345892) is active in the NPPES registry as of the last update on 2025-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.