William Clark, LPC, LCADC
Counselor, Professional in Upper Montclair, New Jersey
1932528312- Practice location
- 209 Cooper Avenue, Suite 2, Upper Montclair, NJ 07043-1850
- Phone
- 973-220-9864
- Fax
- 973-807-9363
- Last updated
- August 18, 2016
William Clark is a Counselor, Professional based in Upper Montclair, NJ. William Clark practices in Upper Montclair, NJ and has the professional credentials of LPC, LCADC. The NPI Number for William Clark is 1932528312 and holds a License No. 37LC00186000 (NJ). The current practice location address for William Clark is 209 Cooper Avenue, Suite 2, Upper Montclair, NJ 07043-1850 and can be reached out via phone at 973-220-9864 and via fax at 973-807-9363.
Provider Profile Details
- NPI Number
- 1932528312
- Provider Name
- William Clark
- Credential
- LPC, LCADC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 209 Cooper Avenue, Suite 2, Upper Montclair, NJ 07043-1850
- Phone Number
- 973-220-9864
- Fax Number
- 973-807-9363
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 14, 2014
- Last Update Date
- August 18, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 209 Cooper Avenue
Suite 2
Upper Montclair, NJ 07043-1850 - City
- Upper Montclair
- State
- New Jersey
- Zip
- 07043-1850
- Phone Number
- 973-220-9864
- Fax Number
- 973-807-9363
Provider Business Mailing Address Details
- Address
- 209 Cooper Avenue
Suite 2
Upper Montclair, NJ 07043-1850 - City
- Upper Montclair
- State
- NJ
- Zip
- 07043-1850
- Phone Number
- 973-220-9864
- Fax Number
- 973-807-9363
License Information
- License Number (1)
- 37LC00186000
- License State (1)
- NJ
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 37PC00492700
- License State (2)
- NJ
- Taxonomy (2)
- Counselor, Professional · 101YP2500X · Primary
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 Upper Montclair, NJ
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Frequently Asked Questions
What is the NPI number of William Clark, LPC, LCADC?
The NPI number of William Clark, LPC, LCADC is 1932528312. It was assigned on April 14, 2014 and is currently active in the NPPES registry.
What is the specialty of William Clark, LPC, LCADC?
William Clark, LPC, LCADC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37LC00186000.
Where does William Clark, LPC, LCADC practice?
The practice location is 209 Cooper Avenue, Suite 2, Upper Montclair, NJ 07043-1850. The office can be reached at 973-220-9864 (phone) or 973-807-9363 (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 1932528312 directly on the NPPES registry website.