- Practice location
- 11 Baxter Blvd, Portland, ME 04101-1801
- Phone
- 207-774-8700
- Fax
- 207-422-7268
- Last updated
- January 9, 2024
Nathaniel P Clark is a Counselor, Professional based in Portland, ME. Nathaniel P Clark practices in Portland, ME and has the professional credentials of LCPC-C. The NPI Number for Nathaniel P Clark is 1891155792 and holds a License No. CC5420 (ME). The current practice location address for Nathaniel P Clark is 11 Baxter Blvd, Portland, ME 04101-1801 and can be reached out via phone at 207-774-8700 and via fax at 207-422-7268.
Provider Profile Details
- NPI Number
- 1891155792
- Provider Name
- Nathaniel P Clark
- Credential
- LCPC-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 11 Baxter Blvd, Portland, ME 04101-1801
- Phone Number
- 207-774-8700
- Fax Number
- 207-422-7268
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 4, 2016
- Last Update Date
- January 9, 2024
- Certification Date
- January 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Baxter Blvd
Portland, ME 04101-1801 - City
- Portland
- State
- Maine
- Zip
- 04101-1801
- Phone Number
- 207-774-8700
- Fax Number
- 207-422-7268
Provider Business Mailing Address Details
- Address
- 11 Baxter Blvd
Portland, ME 04101-1801 - City
- Portland
- State
- ME
- Zip
- 04101-1801
- Phone Number
- 207-774-8700
- Fax Number
- 207-422-7268
License Information
- License Number (1)
- CC5420
- License State (1)
- ME
- Taxonomy (1)
- Counselor, Professional · 101YP2500X · Primary
- License Number (2)
- XL4658
- License State (2)
- ME
- Taxonomy (2)
- Counselor · 101Y00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Professional providers near Portland, ME
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- David R Arnold, LCPC-CCounselor, Professional · NPI 1013336858
- Holly J Bean, LCPC-CCounselor, Professional · NPI 1427469089
- Jennifer L Beaule, MS EDCounselor, Professional · NPI 1780985101
Frequently Asked Questions
What is the NPI number of Nathaniel P Clark, LCPC-C?
The NPI number of Nathaniel P Clark, LCPC-C is 1891155792. It was assigned on March 4, 2016 and is currently active in the NPPES registry.
What is the specialty of Nathaniel P Clark, LCPC-C?
Nathaniel P Clark, LCPC-C is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in ME under license number CC5420.
Where does Nathaniel P Clark, LCPC-C practice?
The practice location is 11 Baxter Blvd, Portland, ME 04101-1801. The office can be reached at 207-774-8700 (phone) or 207-422-7268 (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 1891155792 directly on the NPPES registry website.