1. Home
  2. Directory
  3. Washington
  4. Lakewood
  5. Counselor
  6. NPI Profile

MS. MELODY CLARK CDPT
NPI 1104301316
Counselor - Addiction (Substance Use Disorder) in Lakewood, WA

Active since October 03, 2018
9500 FRONT ST S STE 100, LAKEWOOD, WA 98499(253) 584-3996(253) 589-1071 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Melody Clark Cdpt NPPES

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

MS. MELODY CLARK CDPT (NPI 1104301316) is an individual addiction (substance use disorder) provider in Lakewood, Washington, licensed in Washington (CO60644204) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1104301316
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. MELODY CLARKCredential: CDPT
Location Address9500 FRONT ST S STE 100Lakewood, WA 98499-9415
Mailing Address9500 Front St S Ste 100Tacoma, WA 98499-9415 · (253) 584-3996 · Fax (253) 389-1071
Phone(253) 584-3996
Fax(253) 589-1071
Sole ProprietorYes
Enumeration DateOctober 3, 2018
✔ NPI 1104301316 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 WA · CO60644204
9500 FRONT ST S STE 100, Lakewood, WA 98499
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

SIDNEY RHODES LPN
Licensed Practical Nurse
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499
Pierce County (253) 617-1177
MS. DARLENE UTZ
Counselor (Addiction (Substance Use Disorder))
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499
Pierce County (253) 393-2477
TESIA ELIZABETH STOKES SUDPT
Counselor (Addiction (Substance Use Disorder))
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499
Pierce County (253) 584-3996
SHEILA MARIE WIGGINS LPN
Licensed Practical Nurse
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499
Pierce County (253) 584-3996
JOSHUA RIVAS LCDC SUDP SUDPT
Counselor (Addiction (Substance Use Disorder))
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499
Pierce County (253) 393-2478
MARTHA BURGESS
Licensed Practical Nurse
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499
Pierce County (253) 584-3996
BAO DINH NGO LMHCA
Counselor (Mental Health)
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499
Pierce County (253) 584-3996
CHANDA ANN WALL LICENSED NURSE
Licensed Practical Nurse
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499
Pierce County (253) 584-3996

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 Melody Clark's NPI number?

The NPI number for Melody Clark is 1104301316. It was assigned to this individual provider in the NPPES registry on October 3, 2018.

Where is Melody Clark located?

Melody Clark practices at 9500 Front St S Ste 100, Lakewood, WA 98499. The listed phone number is (253) 584-3996.

What is Melody 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 Melody Clark was last updated on October 3, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.