Active NPIIndividual provider

Carey L Clark, MS, CRSW

Counselor, Addiction (Substance Use Disorder) in Manchester, New Hampshire

NPI Number1104446863
Practice location
140 Queen City Ave, Manchester, NH 03103-7122
Fax
603-624-4290
Last updated
April 23, 2020

Carey L Clark is a Counselor, Addiction (Substance Use Disorder) based in Manchester, NH. Carey L Clark practices in Manchester, NH and has the professional credentials of MS, CRSW. The NPI Number for Carey L Clark is 1104446863. The current practice location address for Carey L Clark is 140 Queen City Ave, Manchester, NH 03103-7122 and can be reached out via phone at 603-622-3020 and via fax at 603-624-4290.

Provider Profile Details

NPI Number
1104446863
Provider Name
Carey L Clark
Credential
MS, CRSW
Provider Entity Type
Individual
Gender
Female
Address
140 Queen City Ave, Manchester, NH 03103-7122
Phone Number
603-622-3020
Fax Number
603-624-4290
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
April 23, 2020
Last Update Date
April 23, 2020
Certification Date
April 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Queen City Ave
Manchester, NH 03103-7122
Zip
03103-7122
Phone Number
603-622-3020
Fax Number
603-624-4290
Manchester, NH 03103Get directions →

Provider Business Mailing Address Details

Address
140 Queen City Ave
Manchester, NH 03103-7122
City
Manchester
State
NH
Zip
03103-7122
Phone Number
603-622-3020
Fax Number
603-624-4290

License Information

Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carey L Clark, MS, CRSW?

The NPI number of Carey L Clark, MS, CRSW is 1104446863. It was assigned on April 23, 2020 and is currently active in the NPPES registry.

What is the specialty of Carey L Clark, MS, CRSW?

Carey L Clark, MS, CRSW is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Carey L Clark, MS, CRSW practice?

The practice location is 140 Queen City Ave, Manchester, NH 03103-7122. The office can be reached at 603-622-3020 (phone) or 603-624-4290 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104446863 directly on the NPPES registry website.

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