Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa C Clark

Individual provider Clinical Social Worker · NPI 1194888222

Lisa C Clark is a Clinical Social Worker in Tomah, Wisconsin. Qualified in 2006, 20 years ago. Practices with Mayo Clinic Health System-Southwest Wisconsin Region Inc, a 552-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky and Wisconsin.

Years since qualifying
20
Licensed in
KY, WI
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

325 Butts Ave
Tomah, WI 54660-1412
Phone: (608) 372-5951
Fax: (608) 372-3436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8194 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 3586 (KY)

Record details

NPI number1194888222
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 19, 2006
Last updated in NPPESNovember 18, 2020
Certification dateNovember 18, 2020
Mailing address200 1st St Sw, Rochester, MN 55905-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Mayo Clinic Health System-Southwest Wisconsin Region Inc — 552 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Tomah