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RANDY W CLARK
NPI 1134086986
Counselor - Addiction (Substance Use Disorder) in Summerfield, FL

Active since January 05, 2026
14911 SE 73RD AVE, SUMMERFIELD, FL 34491(352) 789-2908 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randy W Clark NPPES

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

RANDY W CLARK (NPI 1134086986) is an individual addiction (substance use disorder) provider in Summerfield, Florida, licensed in Florida (CAP.0100612) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1134086986
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRANDY W CLARK
Location Address14911 SE 73RD AVESummerfield, FL 34491-4225
Mailing Address14911 Se 73rd AveSummerfield, FL 34491-4225 · (352) 789-2908
Phone(352) 789-2908
Sole ProprietorYes
Enumeration DateJanuary 5, 2026
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1134086986 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 FL · CAP.0100612
14911 SE 73RD AVE, Summerfield, FL 34491
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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 Randy Clark's NPI number?

The NPI number for Randy Clark is 1134086986. It was assigned to this individual provider in the NPPES registry on January 5, 2026.

Where is Randy Clark located?

Randy Clark practices at 14911 SE 73rd Ave, Summerfield, FL 34491. The listed phone number is (352) 789-2908.

What is Randy 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 Randy Clark was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.