KEVEISHA ROBINSON CLARK
NPI 1417331760
Counselor in Roxbury, MA

Active since July 16, 2015
520 DUDLEY STREET, ROXBURY, MA 02119(617) 708-6174 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Keveisha Robinson Clark NPPES

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

KEVEISHA ROBINSON CLARK (NPI 1417331760) is an individual counselor in Roxbury, Massachusetts and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1417331760
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKEVEISHA ROBINSON CLARK
Location Address520 DUDLEY STREETRoxbury, MA 02119-2772
Mailing Address102 1/2 George St Apt 3Roxbury, MA 02119-2772 · (617) 708-6174
Sole ProprietorNo
Enumeration DateJuly 16, 2015
NPI 1417331760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
520 DUDLEY STREET, Roxbury, MA 02119

Other Providers at the Same Location NPPES 6

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

Counselor
520 DUDLEY STREET
ROXBURY, MA 02119
Counselor (Mental Health)
520 DUDLEY STREET
ROXBURY, MA 02119
Counselor
520 DUDLEY STREET
BOSTON, MA 02119
Peer Specialist
520 DUDLEY STREET
ROXBURY, MA 02119
Counselor
520 DUDLEY STREET
ROXBURY, MA 02119
Social Worker
520 DUDLEY STREET
ROXBURY, MA 02119

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 Keveisha Robinson Clark's NPI number?

The NPI number for Keveisha Robinson Clark is 1417331760. It was assigned to this individual provider in the NPPES registry on July 16, 2015.

Where is Keveisha Robinson Clark located?

Keveisha Robinson Clark practices at 520 Dudley Street, Roxbury, MA 02119. The listed phone number is (617) 708-6174.

What is Keveisha Robinson Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Keveisha Robinson Clark was last updated on July 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.