Active NPIIndividual provider

Bonnie M Clarke, LCDP

Counselor, Addiction (Substance Use Disorder) in Pawtucket, Rhode Island

NPI Number1669364329
Practice location
101 Bacon St, Pawtucket, RI 02860-5542
Fax
—
Last updated
July 17, 2025

Bonnie Marie Clarke is a Counselor, Addiction (Substance Use Disorder) based in Pawtucket, RI. Bonnie Marie Clarke practices in Pawtucket, RI and has the professional credentials of LCDP. The NPI Number for Bonnie Marie Clarke is 1669364329 and holds a License No. CDP01053 (RI). The current practice location address for Bonnie Marie Clarke is 101 Bacon St, Pawtucket, RI 02860-5542 and can be reached out via phone at 401-606-4835.

Provider Profile Details

NPI Number
1669364329
Provider Name
Bonnie Marie Clarke
Credential
LCDP
Provider Entity Type
Individual
Gender
Female
Address
101 Bacon St, Pawtucket, RI 02860-5542
Phone Number
401-606-4835
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
July 17, 2025
Last Update Date
July 17, 2025
Certification Date
July 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Bacon St
Pawtucket, RI 02860-5542
Zip
02860-5542
Phone Number
401-606-4835
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
249 Warrington St
Providence, RI 02907-2642
City
Providence
State
RI
Zip
02907-2642
Phone Number
401-347-3300

License Information

License Number
CDP01053
License State
RI
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 Bonnie M Clarke, LCDP?

The NPI number of Bonnie M Clarke, LCDP is 1669364329. It was assigned on July 17, 2025 and is currently active in the NPPES registry.

What is the specialty of Bonnie M Clarke, LCDP?

Bonnie M Clarke, LCDP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number CDP01053.

Where does Bonnie M Clarke, LCDP practice?

The practice location is 101 Bacon St, Pawtucket, RI 02860-5542. The office can be reached at 401-606-4835 (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 1669364329 directly on the NPPES registry website.

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