Active NPIIndividual provider

Beverly M Clarke, LADC1

Counselor, Addiction (Substance Use Disorder) in Lynn, Massachusetts

NPI Number1477726404
Practice location
181 Union St Ste B, Lynn, MA 01901-1310
Fax
781-581-8413
Last updated
April 10, 2008

Beverly Mae Clarke is a Counselor, Addiction (Substance Use Disorder) based in Lynn, MA. Beverly Mae Clarke practices in Lynn, MA and has the professional credentials of LADC1. The NPI Number for Beverly Mae Clarke is 1477726404 and holds a License No. 1315 (MA). The current practice location address for Beverly Mae Clarke is 181 Union St Ste B, Lynn, MA 01901-1310 and can be reached out via phone at 781-581-9270 and via fax at 781-581-8413.

Provider Profile Details

NPI Number
1477726404
Provider Name
Beverly Mae Clarke
Credential
LADC1
Provider Entity Type
Individual
Gender
Female
Address
181 Union St Ste B, Lynn, MA 01901-1310
Phone Number
781-581-9270
Fax Number
781-581-8413
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
April 10, 2008
Last Update Date
April 10, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
181 Union St Ste B
Lynn, MA 01901-1310
City
Lynn
Zip
01901-1310
Phone Number
781-581-9270
Fax Number
781-581-8413
Lynn, MA 01901Get directions →

Provider Business Mailing Address Details

Address
181 Union St Ste B
Lynn, MA 01901-1310
City
Lynn
State
MA
Zip
01901-1310
Phone Number
781-581-9270
Fax Number
781-581-8413

License Information

License Number
1315
License State
MA
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 Beverly M Clarke, LADC1?

The NPI number of Beverly M Clarke, LADC1 is 1477726404. It was assigned on April 10, 2008 and is currently active in the NPPES registry.

What is the specialty of Beverly M Clarke, LADC1?

Beverly M Clarke, LADC1 is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 1315.

Where does Beverly M Clarke, LADC1 practice?

The practice location is 181 Union St Ste B, Lynn, MA 01901-1310. The office can be reached at 781-581-9270 (phone) or 781-581-8413 (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 1477726404 directly on the NPPES registry website.

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