ELIZABETH CLARK
NPI 1508061615
Counselor - Addiction (Substance Use Disorder) in San Bernardino, CA

Active since June 19, 2007
780 E GILBERT ST, SUITE 23 & 24, SAN BERNARDINO, CA 92415(909) 387-7458 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Clark NPPES

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

ELIZABETH CLARK (NPI 1508061615) is an individual addiction (substance use disorder) provider in San Bernardino, California, licensed in California (01-047276) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1508061615
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameELIZABETH CLARK
Location Address780 E GILBERT ST, SUITE 23 & 24San Bernardino, CA 92415-1003
Mailing Address4369 Sierra AveNorco, CA 92860-1347 · (909) 387-7458
Sole ProprietorNo
Enumeration DateJune 19, 2007
Last NPPES UpdateJune 16, 2014
NPI 1508061615 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 CA · 01-047276
780 E GILBERT ST, San Bernardino, CA 92415

Other Identifiers 1

Other3145CA · Simon Staff Number

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.

Licensed Vocational Nurse
780 E GILBERT ST
SAN BERNARDINO, CA 92415
Social Worker
780 E GILBERT ST
SAN BERNARDINO, CA 92415
Licensed Vocational Nurse
780 E GILBERT ST
SAN BERNARDINO, CA 92415
Marriage & Family Therapist
780 E GILBERT ST
SAN BERNARDINO, CA 92415
Case Manager/Care Coordinator
780 E GILBERT ST
SAN BERNARDINO, CA 92415
Marriage & Family Therapist
780 E GILBERT ST
SAN BERNARDINO, CA 92415
Social Worker (Clinical)
780 E GILBERT ST
SAN BERNARDINO, CA 92415
Social Worker
780 E GILBERT ST
SAN BERNARDINO, CA 92415

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 Elizabeth Clark's NPI number?

The NPI number for Elizabeth Clark is 1508061615. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is Elizabeth Clark located?

Elizabeth Clark practices at 780 E Gilbert St Suite 23 & 24, San Bernardino, CA 92415. The listed phone number is (909) 387-7458.

What is Elizabeth 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 Elizabeth Clark was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.