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LISA MARIE CLARK
NPI 1164132445
Peer Specialist in Redwood City, CA

Active since November 28, 2022
727 SHASTA ST, REDWOOD CITY, CA 94063(650) 599-1071 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 18, 2023, Nov 28, 2022 (2 updates tracked since 2022).

About Lisa Marie Clark NPPES

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

LISA MARIE CLARK (NPI 1164132445) is an individual peer specialist in Redwood City, California and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1164132445
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameLISA MARIE CLARK
Location Address727 SHASTA STRedwood City, CA 94063-2124
Mailing Address727 Shasta StRedwood City, CA 94063-2124 · (650) 599-1071
Phone(650) 599-1071
Sole ProprietorNo
Enumeration DateNovember 28, 2022
Last NPPES UpdateJanuary 18, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
✔ NPI 1164132445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
727 SHASTA ST, Redwood City, CA 94063
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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.

CARLA MARIA ARELLANO
Marriage & Family Therapist
727 SHASTA ST
REDWOOD CITY, CA 94063
San Mateo County (650) 599-1097
NICHOLAS RODRIGUES
Student in an Organized Health Care Education/Training Program
727 SHASTA ST
REDWOOD CITY, CA 94063
San Mateo County (650) 599-1071
ANJULI KAPILA BEHAVIORAL THERAPY
Student in an Organized Health Care Education/Training Program
727 SHASTA ST
REDWOOD CITY, CA 94063
San Mateo County (800) 686-0101
ROXANA CRYSTAL RAZO
Social Worker (Clinical)
727 SHASTA ST
REDWOOD CITY, CA 94063
San Mateo County (650) 599-1033
JASMINE MARIE NAVARRETE
Marriage & Family Therapist
727 SHASTA ST
REDWOOD CITY, CA 94063
San Mateo County (650) 599-1033
DANIELLE CHANTAL PARK
Marriage & Family Therapist
727 SHASTA ST
REDWOOD CITY, CA 94063
San Mateo County (650) 599-1071
LINDSEY TUCK
Social Worker
727 SHASTA ST
REDWOOD CITY, CA 94063
San Mateo County (650) 599-1033
MEDEA LONG
Student in an Organized Health Care Education/Training Program
727 SHASTA ST
REDWOOD CITY, CA 94063
San Mateo County (650) 599-1033

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 Lisa Clark's NPI number?

The NPI number for Lisa Clark is 1164132445. It was assigned to this individual provider in the NPPES registry on November 28, 2022.

Where is Lisa Clark located?

Lisa Clark practices at 727 Shasta St, Redwood City, CA 94063. The listed phone number is (650) 599-1071.

What is Lisa Clark's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Lisa Clark was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.