MRS. SUSAN KAREN CLARK
NPI 1255789269
Marriage & Family Therapist in San Bernardino, CA

Active since May 31, 2016
3934 CAMELLIA DR, SAN BERNARDINO, CA 92404(951) 316-4841(909) 804-0056 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mrs. Susan Karen Clark NPPES

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

MRS. SUSAN KAREN CLARK (NPI 1255789269) is an individual marriage & family therapist in San Bernardino, California, licensed in California (121989) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1255789269
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. SUSAN KAREN CLARK
Location Address3934 CAMELLIA DRSan Bernardino, CA 92404-2019
Mailing Address3934 Camellia DrSan Bernardino, CA 92404-2019 · (951) 316-4841 · Fax (909) 804-0056
Fax(909) 804-0056
Sole ProprietorNo
Enumeration DateMay 31, 2016
Last NPPES UpdateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
NPI 1255789269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 121989
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
3934 CAMELLIA DR, San Bernardino, CA 92404

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 Susan Clark's NPI number?

The NPI number for Susan Clark is 1255789269. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Susan Clark located?

Susan Clark practices at 3934 Camellia Dr, San Bernardino, CA 92404. The listed phone number is (951) 316-4841.

What is Susan Clark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Susan Clark was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.