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SHERRELL CLARK
NPI 1003366535
Peer Specialist in Riverside, CA

Active since October 07, 2016
2085 RUSTIN AVE STE 1, RIVERSIDE, CA 92507(951) 955-7320 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2024, Jun 26, 2024 (2 updates tracked since 2024).

About Sherrell Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHERRELL CLARK (NPI 1003366535) is an individual peer specialist in Riverside, California and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1003366535
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSHERRELL CLARK
Location Address2085 RUSTIN AVE STE 1Riverside, CA 92507-2498
Mailing Address883 Oleander StHemet, CA 92543-5876 · (503) 754-2398
Phone(951) 955-7320
Sole ProprietorYes
Enumeration DateOctober 7, 2016
Last NPPES UpdateDecember 31, 20242 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
✔ NPI 1003366535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
2085 RUSTIN AVE STE 1, Riverside, CA 92507
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER YOUNG
Licensed Vocational Nurse
2085 RUSTIN AVE STE 1
RIVERSIDE, CA 92507
Riverside County (951) 955-7320
JENNIFER NORIEGA AMFT
Marriage & Family Therapist
2085 RUSTIN AVE STE 1
RIVERSIDE, CA 92507
Riverside County (951) 955-7320
JULIA PHEV
Peer Specialist
2085 RUSTIN AVE STE 1
RIVERSIDE, CA 92507
Riverside County (951) 955-7161
MS. LAUREN DANIELLE JIMENEZ
Counselor
2085 RUSTIN AVE STE 1
RIVERSIDE, CA 92507
Riverside County (951) 955-7320
ASHLEY HOUSLEY
Peer Specialist
2085 RUSTIN AVE STE 1
RIVERSIDE, CA 92507
Riverside County (951) 955-7320
JASMINE KASSANDRA MATA
Community Health Worker
2085 RUSTIN AVE STE 1
RIVERSIDE, CA 92507
Riverside County (951) 955-7320
JOSE FRANCISCO GARCIA
Rehabilitation Practitioner
2085 RUSTIN AVE STE 1
RIVERSIDE, CA 92507
Riverside County (951) 955-7320
LAUREN MARIKU
Social Worker (Clinical)
2085 RUSTIN AVE STE 1
RIVERSIDE, CA 92507
Riverside County (951) 955-7320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sherrell Clark's NPI number?

The NPI number for Sherrell Clark is 1003366535. It was assigned to this individual provider in the NPPES registry on October 7, 2016.

Where is Sherrell Clark located?

Sherrell Clark practices at 2085 Rustin Ave Ste 1, Riverside, CA 92507. The listed phone number is (951) 955-7320.

What is Sherrell Clark's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Sherrell Clark was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.