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MARY CATHERINE CLARK MS, BSL, BSC, MT
NPI 1063865186
Clinic/Center - Mental Health (Including Community Mental Health Center) in Wellsboro, PA

Active since July 14, 2016
62 PLAZA LN, WELLSBORO, PA 16901(570) 724-7142(570) 724-6771 Get Directions Write a Review

NPPES record last updated: July 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Catherine Clark Ms, Bsl, Bsc, Mt NPPES

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

MARY CATHERINE CLARK MS, BSL, BSC, MT (NPI 1063865186) is an individual mental health (including community mental health center) provider in Wellsboro, Pennsylvania, licensed in Pennsylvania (BH003138) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1063865186
Entity TypeIndividualFemale
Primary Taxonomy261QM0801X
Provider Legal NameMARY CATHERINE CLARKCredential: MS, BSL, BSC, MT
Location Address62 PLAZA LNWellsboro, PA 16901-1766
Mailing Address1 W Main StFleetwood, PA 19522-1323 · (610) 944-0445 · Fax (610) 944-8834
Phone(570) 724-7142
Fax(570) 724-6771
Sole ProprietorYes
Enumeration DateJuly 14, 2016
✔ NPI 1063865186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in PA · BH003138
62 PLAZA LN, Wellsboro, PA 16901
Open in Google Maps ↗

Other Providers at the Same Location NPPES 13

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

JOELLE YOUNG MS, LBS
Counselor (Professional)
62 PLAZA LN
WELLSBORO, PA 16901
Tioga County (570) 724-7142
SUSAN GROOVER-VAN PELT LSW
Social Worker (Clinical)
62 PLAZA LN
WELLSBORO, PA 16901
Tioga County (570) 724-7142
JASON R FRY BSL/MS
Counselor (Professional)
62 PLAZA LN
WELLSBORO, PA 16901
Tioga County (570) 724-7142
RICHARD HAYFORD MS, BSL
Social Worker (Clinical)
62 PLAZA LN
WELLSBORO, PA 16901
Tioga County (570) 724-7142
KIMBERLY ALLEN LSW
Counselor (Mental Health)
62 PLAZA LN
WELLSBORO, PA 16901
Tioga County (570) 724-7142
ERIKA PETERSON LSW
Social Worker (Clinical)
62 PLAZA LN
WELLSBORO, PA 16901
Tioga County (570) 724-7142
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES
Community/Behavioral Health
62 PLAZA LN
WELLSBORO, PA 16901
Tioga County (570) 724-7142
MRS. TRINITY DAWN COWBURN MA, BSL
Counselor
62 PLAZA LN
WELLSBORO, PA 16901
Tioga County (570) 724-7142

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 Mary Catherine Clark's NPI number?

The NPI number for Mary Catherine Clark is 1063865186. It was assigned to this individual provider in the NPPES registry on July 14, 2016.

Where is Mary Catherine Clark located?

Mary Catherine Clark practices at 62 Plaza Ln, Wellsboro, PA 16901. The listed phone number is (570) 724-7142.

What is Mary Catherine Clark's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Mary Catherine Clark was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.