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

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  • 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
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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.

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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.
1811642036
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2821124406
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 = 66

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 Worker1309-1311 FOSTER AVENUE
BROOKLYN, NY 11230
(718) 282-0010
1184776452BROOKLYN CENTER FOR FAMILIES IN CRISIS
Organization
Community/Behavioral Health1309-1311 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.