Kimberly R. Clark, MSW
NPI 1861786790ActiveIndividual· Social Worker· Sylvania, OH
Opted out of Medicare from April 2024 to April 2028. Social Worker (MSW) in Sylvania, Ohio, licensed in OH, with an NPI issued in June 2011. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1861786790 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW |
| Sole proprietor | No |
| NPI issued | Jun 8, 2011 |
| Last updated in NPPES | Jun 8, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | S1100497 | OH |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Ohio, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Kimberly Gail Clark · Nurse/Nurses Aide | 1128a3 | Apr 20, 2025 | Frankfort, OH |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | Possible (name) | See above |
| 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 Apr 16, 2024 – Apr 16, 2028 |
| Can order and refer | No |
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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