Dominique Monche' Clark, LCSW
Clinical Social Worker · Walls, MS
Dominique Monche' Clark, LCSW is a clinical social worker with a practice address in Walls, Mississippi, and NPI 1871345892, issued on Apr 3, 2024. Check the license (Mississippi C10935, as entered in NPPES) with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Dominique Monche' Clark
- Credential
- LCSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- C10935 MS
Self-reported in NPPES; status is on the state search - Practice location
- 6551 Anna May Dr, Walls, MS 38680
- Phone
- (901) 359-1283
- Enumerated
- Apr 3, 2024
- Record last updated
- May 19, 2025
- Medicare enrollment
- Enrolled (PECOS I20250521001200); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 1,028 in Mississippi → Look up another NPI →
Verify Dominique Monche' Clark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license C10935Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 3 group practices
- Mdb Behavioral Health Services LLCVicksburg, MS
- Supportive Psych Care OF Arkansas PALittle Rock, AR
- Uppal Medical Center LLCGreenville, MS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Dominique Monche' Clark among 1,028 clinical social worker records in Mississippi
Dominique Monche' Clark, LCSW is one of 1,028 clinical social worker records with a practice address in Mississippi. 13% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 89% of them.
- NPI issued2024 · 89% of these records are older, 8% newer
- In a Medicare fileYes · 13% of these records are
- In the CMS Doctors and Clinicians fileYes · 23% of these records are
- Graduated2015 · median 2011 among the 232 with a school on file
- Record last updated2025 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
3 clinical social worker records list a practice address in Walls
They are 3 of the 22 NPPES records with a practice address in Walls, and 1,028 clinical social worker records in Mississippi.
All 1,028 in Mississippi → Every provider in Walls → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Jessica Davis, LCSWWalls, MS 386801447039953
- Wendy McKenzieWalls, MS 386801013798073
- Amy Fisher, LCSWUniversity, MS 386771871817494
- April Bailye, LCSWSouthaven, MS 386721265699417
- Amy Bichsel Pacheco Pina, LCSWSouthaven, MS 386721679701205
- Leia BrownSouthaven, MS 386721710856646
- Leah Dygert, L.C.S.W.Southaven, MS 386721184941403
- Monica Ferrelli-Lemmon, LCSW, LMSWSouthaven, MS 386721881831832
Common questions
What is Dominique Monche' Clark, LCSW's NPI number?
Dominique Monche' Clark, LCSW's National Provider Identifier (NPI) is 1871345892, issued on Apr 3, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Dominique Monche' Clark, LCSW located?
The NPPES record lists a practice address at 6551 Anna May Dr, Walls, MS, 38680. Phone: (901) 359-1283. Providers update this record themselves, so call before visiting.
How can I verify Dominique Monche' Clark, LCSW's license?
NPPES lists Mississippi license number C10935, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.