Lisa C. Clark
NPI 1194888222ActiveIndividual· Social Worker, Clinical· Tomah, WI
Social Worker, Clinical with Mayo Clinic Health System-Southwest Wisconsin Region Inc, practicing in Tomah, Wisconsin. Medicare paid $9,362 for services to 32 patients in 2024. Lists Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta as a hospital affiliation.
Overview
| NPI | 1194888222 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 19, 2006 |
| Last updated in NPPES | Nov 18, 2020 |
| Certified by provider | Nov 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 8194 | WI |
| Social Worker, Clinical | 1041C0700X | 3586 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 32 |
|---|---|
| Services billed | 167 across 6 procedure codes |
| Paid by Medicare | $9,362 |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Mayo Clinic Health System-Southwest Wisconsin Region IncLa Crosse, WI · 534 clinicians
Hospital affiliation
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All 40 clinical social workers in Tomah · All clinical social workers in Wisconsin