Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285182022 Individual Practitioner Female Practitioner

Nicole Michelle Clark , LSW

Social Worker • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Nicole Clark, LSW is a registered healthcare professional specializing in Social Worker in Dayton, OH. Practice services are available at 1349 EAST STROOP ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1349 East Stroop Road

Dayton, OH 454294925

Telephone 9372938300
Associated Practice Facility / Clinic
🏢 South Community Inc Facility NPI 1639128176

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.6 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
419 Specialists

Practicing in Dayton, OH (11526 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License OH S1303565

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Holly Vadnais

Case Manager/Care Coordinator

NPI 1003311515
Chadonn Cummings

Social Worker

NPI 1003342692
Elizabeth Liapis , LISW-SUPV

Social Worker - Clinical

NPI 1003350380

LISWSUPV

Kimberly Yates

Case Manager/Care Coordinator

NPI 1003456906
Stephanie Mccutcheon , BGS, QMHS

Case Manager/Care Coordinator

NPI 1003554874
Logan Bruno

Case Manager/Care Coordinator

NPI 1003671546

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 21, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2016

Registered at 1349 EAST STROOP ROAD, DAYTON, OH 454294925 (Tel: 9372938300)

📍
Updated Business Mailing Address September 21, 2016

Registered at 3506 DANBURY ROAD, FAIRFIELD, OH 450145311 (Tel: 5133829202)

👤
Provider Name / Credentials Updated September 21, 2016

Recorded as NICOLE CLARK, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2016

Social Worker (License #S1303565 in OH)

🟢
Initial NPI Registration & Enumeration September 21, 2016

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: 1285182022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2016
Last Update: September 21, 2016
Sole Proprietor: Yes

Mailing Address

3506 Danbury Road

Fairfield, OH 450145311

Phone: 5133829202

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.