WAYNE E CLARK CASAC
NPI 1396209136
Counselor - Addiction (Substance Use Disorder) in Bronx, NY

Active since January 25, 2019
820 SAINT ANNS AVE, BRONX, NY 10456(646) 316-3265 Get Directions Write a Review

NPPES record last updated: January 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wayne E Clark Casac NPPES

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

WAYNE E CLARK CASAC (NPI 1396209136) is an individual addiction (substance use disorder) provider in Bronx, New York, licensed in New York (23387) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1396209136
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameWAYNE E CLARKCredential: CASAC
Location Address820 SAINT ANNS AVEBronx, NY 10456-7885
Mailing Address2012 Benedict Ave Ste 2Bronx, NY 10462-4404 · (646) 316-3265
Sole ProprietorNo
Enumeration DateJanuary 25, 2019
NPI 1396209136 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 NY · 23387
820 SAINT ANNS AVE, Bronx, NY 10456

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
820 SAINT ANNS AVE
BRONX, NY 10456
Nurse Practitioner (Family)
820 SAINT ANNS AVE
BRONX, NY 10456
Physical Therapist (Orthopedic)
820 SAINT ANNS AVE
BRONX, NY 10456
Local Education Agency (LEA)
820 SAINT ANNS AVE
BRONX, NY 10456
Case Manager/Care Coordinator
820 SAINT ANNS AVE
BRONX, NY 10456
Social Worker
820 SAINT ANNS AVE
BRONX, NY 10456
Physician Assistant
820 SAINT ANNS AVE
BRONX, NY 10456
Physician Assistant
820 SAINT ANNS AVE
BRONX, NY 10456

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 Wayne Clark's NPI number?

The NPI number for Wayne Clark is 1396209136. It was assigned to this individual provider in the NPPES registry on January 25, 2019.

Where is Wayne Clark located?

Wayne Clark practices at 820 Saint Anns Ave, Bronx, NY 10456. The listed phone number is (646) 316-3265.

What is Wayne 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 Wayne Clark was last updated on January 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.