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Active NPI 1558449843 Individual Practitioner Male Practitioner

Gregory James Clark , LCSW-R

Social Worker - Clinical • Olean, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gregory Clark, LCSW-R is a certified Social Worker - Clinical practicing in Olean, NY. With approximately 28 years of clinical experience since graduating from State University Of New York At Buffalo School Of Medicine in 1998, Gregory Clark delivers high-quality medical care to the local community at 2656 W STATE ST.

Gregory Clark accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2656 W State St
Suite 506

Olean, NY 147601871

Telephone 7163781002
Fax 7163732170

Medicare Profile & Education

Medical School

State University Of New York At Buffalo School Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Olean, NY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +9.0 yrs vs City Avg
City Avg: 19.0 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
14 Specialists

Practicing in Olean, NY (30575 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (28 Years) 28 Yrs
Olean Specialty Average (19.0 Years) 19.0 Yrs

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License NY R073675-1

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
000590314001 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Kimberly Conroy , APRN-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1619902889

APRNBC

Michael Johnson

Counselor - Pastoral

NPI 1699133983
Laurel Stanley , LCSW

Social Worker - Clinical

NPI 1760474324

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2656 W STATE ST, SUITE 506, OLEAN, NY 147601871 (Tel: 7163781002)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2608 ROUTE 305, CUBA, NY 147279555 (Tel: 5859683816)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GREGORY CLARK, LCSW-R

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #R073675-1 in NY)

🟢
Initial NPI Registration & Enumeration November 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558449843
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

2608 Route 305

Cuba, NY 147279555

Phone: 5859683816

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.