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TOM ALLEN CLARK
NPI 1033674718
Counselor - Addiction (Substance Use Disorder) in Lotus, CA

Active since February 06, 2019
838 BEACH COURT, LOTUS, CA 95633(530) 626-7252 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 2, 2020, Feb 6, 2019 (2 updates tracked since 2019).

About Tom Allen Clark NPPES

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

TOM ALLEN CLARK (NPI 1033674718) is an individual addiction (substance use disorder) provider in Lotus, California, licensed in California (1356560719) and active in the NPI registry since February 2019. He maintains a secondary practice location in Placerville.

NPPES Registry Identity

NPI1033674718
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTOM ALLEN CLARK
Location Address838 BEACH COURTLotus, CA 95633-9563
Mailing Address838 Beach CourtLotus, CA 95682 · (916) 508-8722
Phone(530) 626-7252
Sole ProprietorNo
Enumeration DateFebruary 6, 2019
Last NPPES UpdateOctober 2, 20202 updates tracked since enumeration
NPPES CertifiedOctober 1, 2020
✔ NPI 1033674718 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 CA · 1356560719
838 BEACH COURT, Lotus, CA 95633
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Secondary Practice Location 1

Location 12844 Coloma StPlacerville, CA 95667-4406 · Phone (530) 626-7252

Other Identifiers 1

Medicaid1043542707CA

Other Providers at the Same Location NPPES

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

DANIEL LAWRENCE GILLILAND SUDCC
Counselor (Addiction (Substance Use Disorder))
838 BEACH COURT
LOTUS, CA 95633
El Dorado County (530) 626-7252

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 Tom Clark's NPI number?

The NPI number for Tom Clark is 1033674718. It was assigned to this individual provider in the NPPES registry on February 6, 2019.

Where is Tom Clark located?

Tom Clark practices at 838 Beach Court, Lotus, CA 95633. The listed phone number is (530) 626-7252.

What is Tom 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 Tom Clark was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.