Deandra L. Clark, M.S., LCPC-C, LADC
NPI 1588713655ActiveIndividual· Social Worker· Portland, ME
Social Worker (M.S., LCPC-C, LADC) in Portland, Maine, licensed in ME, with an NPI issued in January 2007.
Overview
| NPI | 1588713655 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., LCPC-C, LADC |
| Sole proprietor | No |
| NPI issued | Jan 9, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | LS6308 | ME |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | LC3715 | ME |
| Counselor, Mental Health | 101YM0800X | XL2975 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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