NPPES file of Aug 9, 2026

Kelli Marie Clark

Clinical Social Worker · Massena, NY

Kelli Marie Clark is a clinical social worker with a practice address in Massena, New York, and NPI 1104196815, issued on Jan 11, 2012. Check the license (New York R054044-1, as entered in NPPES) with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1104196815
Name
Kelli Marie Clark
Primary taxonomy
Clinical Social Worker 1041C0700X
License number
R054044-1 NY
Self-reported in NPPES; status is on the state search
Practice location
23 Maple St, Massena, NY 13662
Phone
(315) 769-8441
Enumerated
Jan 11, 2012
Record last updated
Apr 24, 2018 (not updated in 8 years: call before relying on the address or phone)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 23 Maple St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Cynthia Babbitt, LCSWRClinical Social Worker1154450880
  2. Angelia Bernard, RNRegistered Nurse1912223256
  3. Noele Brabon, LCSW-RClinical Social Worker1780935759
  4. Athena Curley, L.M.S.W.Clinical Social Worker1285882852
  5. Margaret Dunn, LCSWRClinical Social Worker1558680512
  6. Kara DutchRehabilitation Counselor1770086910

Verify Kelli Marie Clark in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license R054044-1
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New York license search

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Kelli Marie Clark among 29,293 clinical social worker records in New York

Kelli Marie Clark is one of 29,293 clinical social worker records with a practice address in New York. 8% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2012, is newer than 50% of them.

  • NPI issued2012 · 50% of these records are older, 46% newer
  • In a Medicare fileNo · 8% of these records are
  • In the CMS Doctors and Clinicians fileNo · 17% of these records are
  • Record last updated2018 · 65% 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 New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

19 clinical social worker records list a practice address in Massena

They are 19 of the 259 NPPES records with a practice address in Massena, and 29,293 clinical social worker records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 clinical social worker records with the nearest ZIP codes

  1. Cynthia Babbitt, LCSWRMassena, NY 136621154450880
  2. Anne Bender, LCSWMassena, NY 136621891828679
  3. Scott Bennett, LCSW, LICSWMassena, NY 136621003095795
  4. Athena Curley, L.M.S.W.Massena, NY 136621285882852
  5. Joan Delarm, MSW LCSWR ACSW DCSWMassena, NY 136621356480610
  6. Margaret Dunn, LCSWRMassena, NY 136621558680512
  7. Jared Dunne-Thayer, LCSW-RMassena, NY 136621922133487
  8. Nicole Kormanyos, LCSWMassena, NY 136621790034841

Common questions

What is Kelli Marie Clark's NPI number?

Kelli Marie Clark's National Provider Identifier (NPI) is 1104196815, issued on Jan 11, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Kelli Marie Clark located?

The NPPES record lists a practice address at 23 Maple St, Massena, NY, 13662. Phone: (315) 769-8441. Providers update this record themselves, so call before visiting.

How can I verify Kelli Marie Clark's license?

NPPES lists New York license number R054044-1, as entered by the provider. Search the New York 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. 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.