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Eva-Sophia Clark, MA, LCSW, LCDC, EMDR

NPI 1003466947ActiveIndividual· Social Worker· Denton, TX

Opted out of Medicare from September 2026 to September 2028. Social Worker (MA, LCSW, LCDC, EMDR) in Denton, Texas, licensed in TX, with an NPI issued in September 2019.

Overview

NPI1003466947
StatusActive
Entity typeIndividual
CredentialMA, LCSW, LCDC, EMDR
Sole proprietorNo
NPI issuedSep 12, 2019
Last updated in NPPESMar 21, 2021
Certified by providerMar 15, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker Primary104100000X66542TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Sep 9, 2026 – Sep 9, 2028
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

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