Amanda Rae Clark, LCSW
NPI 1518732726ActiveIndividual· Social Worker, Clinical· De Pere, WI
Social Worker, Clinical (LCSW) with Bellin Memorial Hospital Inc, practicing in De Pere, Wisconsin. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1518732726 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Nov 17, 2023 |
| Last updated in NPPES | Nov 21, 2023 |
| Certified by provider | Nov 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 11492-123 | WI |
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) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Bellin Memorial Hospital IncGreen Bay, WI · 697 clinicians
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All 36 clinical social workers in De Pere · All clinical social workers in Wisconsin