Clark E. Wooldridge Jr., LISW ACP
NPI 1649380502ActiveIndividual· Social Worker, Clinical· Clovis, NM
Opted out of Medicare from February 2017 to February 2027. Social Worker, Clinical (LISW ACP) in Clovis, New Mexico, licensed in NM and TX, with an NPI issued in August 2006.
Overview
| NPI | 1649380502 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW ACP |
| Sole proprietor | No |
| NPI issued | Aug 30, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | I2267 | NM |
| Social Worker, Clinical | 1041C0700X | 05339 | TX |
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 |
|---|---|
| Opt-out | Opted out Feb 2, 2017 – Feb 2, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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