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MARSHA CLARK RN
NPI 1043689342
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Gary, IN

Active since September 17, 2015
1100 W 6TH AVE, GARY, IN 46402(219) 240-8615 Get Directions Write a Review

NPPES record last updated: September 17, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marsha Clark Rn NPPES

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

MARSHA CLARK RN (NPI 1043689342) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Gary, Indiana, licensed in Indiana (28139476A) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1043689342
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameMARSHA CLARKCredential: RN
Location Address1100 W 6TH AVEGary, IN 46402-1711
Mailing Address1100 W 6th AveGary, IN 46402-1711 · (219) 240-8615
Phone(219) 240-8615
Sole ProprietorYes
Enumeration DateSeptember 17, 2015
✔ NPI 1043689342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in IN · 28139476A
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1100 W 6TH AVE, Gary, IN 46402
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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.

MRS. LARESSE HARRIS APRN, FNP-C
Nurse Practitioner (Family)
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
DAWN RANDLE
Behavior Technician
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
RESEDA STURDIVANT
Technician, Other
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
LYTINA NICOLE BARNETT
Social Worker
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
JEWEL YVETTA JONES
Technician (Attendant Care Provider)
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
DIANEA' LYNN MCINTOSH
Behavior Analyst
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
SHANELL LITHRESE HIGHTOWER
Counselor
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
LYTITIA C LONDON
Social Worker
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 789-6926

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 Marsha Clark's NPI number?

The NPI number for Marsha Clark is 1043689342. It was assigned to this individual provider in the NPPES registry on September 17, 2015.

Where is Marsha Clark located?

Marsha Clark practices at 1100 W 6th Ave, Gary, IN 46402. The listed phone number is (219) 240-8615.

What is Marsha Clark's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Marsha Clark was last updated on September 17, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.