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

Rebecca Elizabeth Clark

Individual provider Clinical Social Worker · NPI 1487363016

Rebecca Elizabeth Clark is a Clinical Social Worker in Collingswood, New Jersey. Qualified in 2019, 7 years ago. Practices with Lifebulb LLC, a 94-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2022
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Practice location Address checks out

168 Fern Ave
Collingswood, NJ 08108-1938
Phone: (732) 310-7343
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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 44SC06081000 (NJ)

Record details

NPI number1487363016
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 22, 2022
Last updated in NPPESNovember 22, 2022
Certification dateNovember 22, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lifebulb Llc — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Collingswood