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Rehabilitation Practitioner
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NPI ProfileIndividual NPI Record33 fields Similar Nearby13 providers

MITCHELL CLARK
NPI 1205307204
Rehabilitation Practitioner in San Francisco, CA

Active since December 17, 2018

921 LINCOLN WAY, SAN FRANCISCO, CA 94122(415) 664-1414 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2025, Mar 6, 2021, Feb 24, 2021 and 1 more (4 updates tracked since 2018).

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About Mitchell Clark NPPES

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

MITCHELL CLARK (NPI 1205307204) is an individual rehabilitation practitioner in San Francisco, California and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1205307204

Entity TypeIndividualMale

Primary Taxonomy225400000X

Provider Legal NameMITCHELL CLARK

Location Address921 LINCOLN WAYSan Francisco, CA 94122-2210

Mailing Address921 Lincoln WaySan Francisco, CA 94122-2210 · (415) 664-1414 · Fax (415) 664-7741

Phone(415) 664-1414

Sole ProprietorNo

Enumeration DateDecember 17, 2018

Last NPPES UpdateMay 14, 20254 updates tracked since enumeration

May 14, 2025 · Most recent update · 1 yr 2 mo ago
Mar 6, 2021 · Record updated · 5 yr 4 mo ago
Feb 24, 2021 · Record updated · 5 yr 5 mo ago
Dec 17, 2018 · Record updated · 7 yr 7 mo ago

NPPES CertifiedMay 14, 2025

✔ NPI 1205307204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

921 LINCOLN WAY, San Francisco, CA 94122

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Other Providers at the Same Location

The following 20 providers are registered at the same or a nearby location.

Case Manager/Care Coordinator

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (415) 664-1414

Case Manager/Care Coordinator

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (415) 664-1414

Case Manager/Care Coordinator

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (415) 664-1414

MICHELLE HORTON

Case Manager/Care Coordinator

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (415) 664-1414

CHRISTIAN BAILLET

Case Manager/Care Coordinator

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (415) 664-1414

Counselor (Mental Health)

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (415) 664-1414

Counselor (Mental Health)

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (415) 664-1414

Counselor (Mental Health)

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (415) 664-1414

Counselor (Mental Health)

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (415) 664-1414

HEATHER MARIE DEKLOTZ

Community Health Worker

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (415) 664-1414

Counselor

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (415) 664-1414

Community Health Worker

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (415) 664-1414

Community Health Worker

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (141) 566-4141

ANNA STELLA TYRER-VASELL

Community Health Worker

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (415) 664-1414

VIOLET BORONKAY

Community Health Worker

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (415) 664-1414

Counselor (Mental Health)

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (415) 664-1414

ANTONIO ARENAS MHRS, AA, BA

Counselor

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (415) 664-4876

KENDRA NELSON-RURY

Community Health Worker

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (415) 664-1414

Community Health Worker

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (415) 664-1414

Community Health Worker

921 LINCOLN WAY
SAN FRANCISCO, CA 94122

San Francisco County (415) 664-4876

Frequently Asked Questions

What is Mitchell Clark's NPI number?

The NPI number assigned to this healthcare provider is 1205307204, enumerated as an "individual" on December 17, 2018.

Where is the provider located?

The provider is located at 921 LINCOLN WAY SAN FRANCISCO, CA 94122 and the phone number is (415) 664-1414.

What is the provider's specialty?

Rehabilitation Practitioner with taxonomy code 225400000X.

Previous: 1205307196

Next: 1205307212

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NPI data updated July 19, 2026 • PECOS data updated July 17, 2026 • Updated weekly from official CMS public data

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