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SHANNEN CLARK COUNSELOR
NPI 1356980122
Counselor - Addiction (Substance Use Disorder) in Liverpool, NY

Active since December 27, 2019
526 OLD LIVERPOOL RD STE 9, LIVERPOOL, NY 13088(315) 453-3911 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2020, Dec 27, 2019 (2 updates tracked since 2019).

About Shannen Clark Counselor NPPES

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

SHANNEN CLARK COUNSELOR (NPI 1356980122) is an individual addiction (substance use disorder) provider in Liverpool, New York and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1356980122
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANNEN CLARKCredential: COUNSELOR
Location Address526 OLD LIVERPOOL RD STE 9Liverpool, NY 13088-6285
Mailing Address147 Cumberland AveSyracuse, NY 13210-2211
Phone(315) 453-3911
Sole ProprietorNo
Enumeration DateDecember 27, 2019
Last NPPES UpdateDecember 22, 20202 updates tracked since enumeration
NPPES CertifiedDecember 22, 2020
✔ NPI 1356980122 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
526 OLD LIVERPOOL RD STE 9, Liverpool, NY 13088
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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.

ANGELA RICE
Counselor (Addiction (Substance Use Disorder))
526 OLD LIVERPOOL RD STE 9
LIVERPOOL, NY 13088
Onondaga County (315) 453-3911
LORI ANN BARRETT RN
Registered Nurse
526 OLD LIVERPOOL RD STE 9
LIVERPOOL, NY 13088
Onondaga County (315) 453-3911
ALEXA DENAE LIGGINS
Counselor (Mental Health)
526 OLD LIVERPOOL RD STE 9
LIVERPOOL, NY 13088
Onondaga County (315) 453-3911
ROBERT MULFORD
Counselor (Addiction (Substance Use Disorder))
526 OLD LIVERPOOL RD STE 9
LIVERPOOL, NY 13088
Onondaga County (315) 453-3911
MIRANDA L DEERING
Counselor (Addiction (Substance Use Disorder))
526 OLD LIVERPOOL RD STE 9
LIVERPOOL, NY 13088
Onondaga County (315) 453-3911
MIA MARTANS COUNSELOR
Counselor (Addiction (Substance Use Disorder))
526 OLD LIVERPOOL RD STE 9
LIVERPOOL, NY 13088
Onondaga County (315) 453-3911
KRISTIN M RIELLY
Counselor (Mental Health)
526 OLD LIVERPOOL RD STE 9
LIVERPOOL, NY 13088
Onondaga County (315) 453-3911
CODY ASHTON RYAN BOWSER
Counselor (Addiction (Substance Use Disorder))
526 OLD LIVERPOOL RD STE 9
LIVERPOOL, NY 13088
Onondaga County (315) 453-3911

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 Shannen Clark's NPI number?

The NPI number for Shannen Clark is 1356980122. It was assigned to this individual provider in the NPPES registry on December 27, 2019.

Where is Shannen Clark located?

Shannen Clark practices at 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088. The listed phone number is (315) 453-3911.

What is Shannen 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 Shannen Clark was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.