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PATRICIA CLARK CDCA
NPI 1023840931
Counselor - Addiction (Substance Use Disorder) in Dayton, OH

Active since August 19, 2024
4977 NORTHCUTT PL, DAYTON, OH 45414(800) 829-5461 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Patricia Clark Cdca NPPES

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

PATRICIA CLARK CDCA (NPI 1023840931) is an individual addiction (substance use disorder) provider in Dayton, Ohio, licensed in Ohio (CDCA189075) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1023840931
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePATRICIA CLARKCredential: CDCA
Location Address4977 NORTHCUTT PLDayton, OH 45414-3839
Mailing Address21 Hickory DrHarrison, OH 45030-2804
Phone(800) 829-5461
Sole ProprietorYes
Enumeration DateAugust 19, 2024
NPPES CertifiedAugust 19, 2024
✔ NPI 1023840931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA189075
4977 NORTHCUTT PL, Dayton, OH 45414
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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.

MS. MARSHA T RUSSELL CDCA
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
QUANICE LOCKE LCDCII
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 450-7790
JEWELIA ELLIS RN
Registered Nurse (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (800) 829-5461
BETHANY DAWN GIBSON
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
MRS. SEMAJA BRENT
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
JILL GINTER CDCA
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
BLAINE ROWE PEER SUPPORT
Peer Specialist
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (800) 829-5461
SCOTT ANDREW COPITS PEER SUPPORT
Peer Specialist
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (800) 829-5461

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 Patricia Clark's NPI number?

The NPI number for Patricia Clark is 1023840931. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Patricia Clark located?

Patricia Clark practices at 4977 Northcutt Pl, Dayton, OH 45414. The listed phone number is (800) 829-5461.

What is Patricia Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Patricia Clark was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.