JEREMY CLARK LMSW
NPI 1811642036
Social Worker in Brooklyn, NY
NPI Status: Active since February 16, 2022
Contact Information
1309-1311 FOSTER AVENUE
BROOKLYN, NY
ZIP 11230
Phone: (718) 282-0010
- Individual
- Male
- Years of Experience 5
- Social Worker
- May Accept Medicare Approved Payment
- PECOS Enrolled
About JEREMY CLARK
This page provides the complete NPI Profile along with additional information for Jeremy Clark, a provider established in Brooklyn, New York with a medical specialization in Social Worker and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1811642036 assigned on February 2022. The practitioner's primary taxonomy code is 104100000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1811642036
- Provider Name
- JEREMY CLARK LMSW
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1309-1311 FOSTER AVENUE BROOKLYN, NY 11230
- Location Phone
- (718) 282-0010
- Mailing Address
- 616 E 18TH ST APT 1D BROOKLYN, NY 11226
- Mailing Phone
- (502) 994-1597
- Medical School Name
- OTHER
- Graduation Year
- 2021
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-16-2022
- Last Update Date
- 02-16-2022
- Code Navigator
A social worker like Jeremy Clark helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Medicare Participation & PECOS Enrollment Status
Jeremy Clark is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Jeremy Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9032631197
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250318001846
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for JEREMY CLARK LMSW
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 8 | 1 | 1 | 6 | 4 | 2 | 0 | 3 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 2 | 1 | 12 | 4 | 4 | 0 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 2 + 1 + 1 + 2 + 4 + 4 + 0 + 6 + 24 = 54 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 54 = 6 | 6 |
The NPI number 1811642036 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1508118969 | CORA LISA SMAYDA LMSW Individual | Social Worker | 1309-1311 FOSTER AVENUE BROOKLYN, NY 11230 (718) 282-0010 |
1184776452 | BROOKLYN CENTER FOR FAMILIES IN CRISIS Organization | Community/Behavioral Health | 1309-1311 FOSTER AVENUE BROOKLYN, NY 11230 (718) 282-0010 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811642036, enumerated in the NPI registry as an "individual" on February 16, 2022
The provider is located at 1309-1311 Foster Avenue Brooklyn, Ny 11230 and the phone number is (718) 282-0010
The provider's speciality is Social Worker with taxonomy code 104100000X
The provider has more than 5 years of experience.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on February 16, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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