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BRANDON K CLARK LCDC-I
NPI 1063988939
Case Manager/Care Coordinator in Houston, TX

Active since October 18, 2018
2400 S LOOP W, HOUSTON, TX 77054(832) 429-7219 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 27, 2025, Oct 18, 2018 (2 updates tracked since 2018).

About Brandon K Clark Lcdc-i NPPES

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

BRANDON K CLARK LCDC-I (NPI 1063988939) is an individual case manager/care coordinator provider in Houston, Texas and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1063988939
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameBRANDON K CLARKCredential: LCDC-I
Location Address2400 S LOOP WHouston, TX 77054-2800
Mailing Address2380 Martin Luther King Jr Ave Apt 7Grambling, LA 71245-2113 · (318) 607-4302
Phone(832) 429-7219
Sole ProprietorNo
Enumeration DateOctober 18, 2018
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1063988939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2400 S LOOP W, Houston, TX 77054
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Other Providers at the Same Location NPPES 2

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

MISS SHANITA SHEPPARD LCDC
Counselor (Addiction (Substance Use Disorder))
2400 S LOOP W
HOUSTON, TX 77054
Harris County (832) 786-0681
CASE CLOSED ACADEMY LLC
Counselor (Addiction (Substance Use Disorder))
2400 S LOOP W
HOUSTON, TX 77054
Harris County (832) 786-0681

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 Brandon Clark's NPI number?

The NPI number for Brandon Clark is 1063988939. It was assigned to this individual provider in the NPPES registry on October 18, 2018.

Where is Brandon Clark located?

Brandon Clark practices at 2400 S Loop W, Houston, TX 77054. The listed phone number is (832) 429-7219.

What is Brandon Clark's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Brandon Clark was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.