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MADISYN SYNCLAIRE CLARK
NPI 1023746955
Counselor in Los Angeles, CA

Active since August 09, 2022
5811 S SAN PEDRO ST, LOS ANGELES, CA 90011(323) 234-4445(323) 234-4477 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2022, Aug 9, 2022 (2 updates tracked since 2022).

About Madisyn Synclaire Clark NPPES

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

MADISYN SYNCLAIRE CLARK (NPI 1023746955) is an individual counselor in Los Angeles, California and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1023746955
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMADISYN SYNCLAIRE CLARK
Location Address5811 S SAN PEDRO STLos Angeles, CA 90011-5323
Mailing Address5811 S San Pedro StLos Angeles, CA 90011-5323 · (323) 234-4445 · Fax (323) 234-4477
Phone(323) 234-4445
Fax(323) 234-4477
Sole ProprietorYes
Enumeration DateAugust 9, 2022
Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1023746955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
5811 S SAN PEDRO ST, Los Angeles, CA 90011
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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.

SPECIAL SERVICE FOR GROUPS, INC.
Clinic/Center
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (213) 553-1800
FATIMA COLOMBINA LOPEZ CANALES
Case Manager/Care Coordinator
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (233) 234-4445
TIFFANIE EFFIE JOHNSON MSW, LCSW
Social Worker (Clinical)
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (323) 234-4445
MARIA HERNANDEZ
Community Health Worker
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (323) 234-4445
PATRICE LANAE PICKETT
Social Worker (Clinical)
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (323) 234-4445
ANNABELLE RACHELE PASSONI
Student in an Organized Health Care Education/Training Program
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (323) 234-4445
JANET TORRES
Community Health Worker
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (323) 234-4445
NATALIE NICOLE GOMEZ
Rehabilitation Practitioner
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (323) 234-4445

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 Madisyn Clark's NPI number?

The NPI number for Madisyn Clark is 1023746955. It was assigned to this individual provider in the NPPES registry on August 9, 2022.

Where is Madisyn Clark located?

Madisyn Clark practices at 5811 S San Pedro St, Los Angeles, CA 90011. The listed phone number is (323) 234-4445.

What is Madisyn Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Madisyn Clark was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.