Active NPIIndividual provider

Shelton Clark, LCADC

Counselor, Addiction (Substance Use Disorder) in Newark, New Jersey

NPI Number1578368841
Practice location
103 Lincoln Park, Newark, NJ 07102-2391
Fax
—
Last updated
February 19, 2025

Shelton Clark is a Counselor, Addiction (Substance Use Disorder) based in Newark, NJ. Shelton Clark practices in Newark, NJ and has the professional credentials of LCADC. The NPI Number for Shelton Clark is 1578368841 and holds a License No. 37LC00395800 (NJ). The current practice location address for Shelton Clark is 103 Lincoln Park, Newark, NJ 07102-2391 and can be reached out via phone at 973-848-3764.

Provider Profile Details

NPI Number
1578368841
Provider Name
Shelton Clark
Credential
LCADC
Provider Entity Type
Individual
Gender
Male
Address
103 Lincoln Park, Newark, NJ 07102-2391
Phone Number
973-848-3764
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
February 19, 2025
Last Update Date
February 19, 2025
Certification Date
February 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Lincoln Park
Newark, NJ 07102-2391
City
Newark
Zip
07102-2391
Phone Number
973-848-3764
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
103 Lincoln Park
Newark, NJ 07102-2391
City
Newark
State
NJ
Zip
07102-2391
Phone Number
973-848-3764

License Information

License Number
37LC00395800
License State
NJ
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.

Other Counselor, Addiction (Substance Use Disorder) providers near Newark, NJ

View all Counselor, Addiction (Substance Use Disorder) providers in Newark →

Frequently Asked Questions

What is the NPI number of Shelton Clark, LCADC?

The NPI number of Shelton Clark, LCADC is 1578368841. It was assigned on February 19, 2025 and is currently active in the NPPES registry.

What is the specialty of Shelton Clark, LCADC?

Shelton Clark, LCADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC00395800.

Where does Shelton Clark, LCADC practice?

The practice location is 103 Lincoln Park, Newark, NJ 07102-2391. The office can be reached at 973-848-3764 (phone).

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 1578368841 directly on the NPPES registry website.

Browse related providers