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Deactivated NPI 1093065237 Deactivated / Inactive NPI Male Practitioner

William Peter Clark , LCSW

Social Worker - Clinical • Lander, WY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, William Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 14, 2012
NPI Deactivation Date July 10, 2024
Total Practice Duration ~12 Years of Practice (2012 – 2024)

Professional Overview & Biography Verified Profile Summary

William Clark, LCSW was a registered Social Worker - Clinical practicing in Lander, WY. Throughout an active medical career spanning 12 years, William Clark provided care at the practice location at 830 LINCOLN ST until profile deactivation on 2024-07-10.

Historical Medicare Part B clinical services included psychotherapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

830 Lincoln St

Lander, WY 825202736

Telephone 3073329577
Fax 3073323106
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Lander, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
16 Specialists

Practicing in Lander, WY (852 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
41 13 $337.00 $95.91

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License WY 673

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Jeffrey Swain , LCSW

Social Worker - Clinical

NPI 1437407673

Licensed Clinical Social Worker

NPI 1568613511

Master of Social Work

Dr. Frank Wheeler , MD

Psychiatry & Neurology - Neurology

NPI 1699701532

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated July 10, 2024

Record deactivated on July 10, 2024

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Updated Practice Location June 10, 2020

Registered at 606 23RD ST, RAWLINS, WY 823015127 (Tel: 0732488203)

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Updated Business Mailing Address June 10, 2020

Registered at 606 23RD ST, RAWLINS, WY 823015127 (Tel: 3073248820)

NPI Profile Active September 14, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 14, 2012

Registered at 830 LINCOLN ST, LANDER, WY 825202736 (Tel: 3073329577)

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Updated Business Mailing Address September 14, 2012

Registered at 830 LINCOLN ST, LANDER, WY 825202736 (Tel: 3073329577)

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Provider Name / Credentials Updated September 14, 2012

Recorded as WILLIAM CLARK, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2012

Social Worker (License #673 in WY)

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Initial NPI Registration & Enumeration September 14, 2012

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: 1093065237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2012
Last Update: September 14, 2012
Deactivation Date: July 10, 2024

Mailing Address

830 Lincoln St

Lander, WY 825202736

Phone: 3073329577

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.