Casandra Clark
NPI 1902231210 · Student in an Organized Health Care Education/Training Program · Cottage Grove, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Casandra Clark is a Student in an Organized Health Care Education/Training Program provider in Cottage Grove, MN (NPI 1902231210).
Provider details
- NPI number
- 1902231210
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP5929 (MN)
Specialties & taxonomies
Student, Health Care
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
3 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 (2)
- 15251 Pleasant Valley RdCenter City, MN 55012-9640Phone: (651) 213-4184
- 2265 Como AveSaint Paul, MN 55108-1737Phone: (866) 821-0281
Registry dates
- Enumerated
- 2013-09-05
- Last updated
- 2022-09-16
- Certified
- 2022-09-16
Frequently asked questions
- What is Casandra Clark's NPI number?
- Casandra Clark's National Provider Identifier (NPI) is 1902231210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Casandra Clark's specialty?
- Casandra Clark is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Casandra Clark located?
- Casandra Clark's practice location on file with NPPES is 8682 Inwood Ave S, Cottage Grove, MN 55016-4716.
- What is Casandra Clark's phone number?
- The practice phone number listed in the NPPES registry for Casandra Clark is (651) 341-9660.
- Does Casandra Clark accept Medicare?
- Casandra Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Casandra Clark's NPI active?
- Yes — Casandra Clark's NPI (1902231210) is active in the NPPES registry as of the last update on 2022-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.