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STACEY CLARK TCADC
NPI 1528949963
Counselor - Addiction (Substance Use Disorder) in Corbin, KY

Active since September 11, 2025
1200 MASTER ST, CORBIN, KY 40701(606) 280-4000(833) 222-3797 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Clark Tcadc NPPES

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

STACEY CLARK TCADC (NPI 1528949963) is an individual addiction (substance use disorder) provider in Corbin, Kentucky, licensed in Kentucky (300934) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1528949963
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSTACEY CLARKCredential: TCADC
Location Address1200 MASTER STCorbin, KY 40701-2502
Mailing AddressPo Box 2634Corbin, KY 40702-2634 · (606) 280-4000 · Fax (833) 222-3797
Phone(606) 280-4000
Fax(833) 222-3797
Sole ProprietorNo
Enumeration DateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1528949963 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 KY · 300934
1200 MASTER ST, Corbin, KY 40701
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Other Providers at the Same Location NPPES 7

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

CORBIN-GREER & GREER, PSC
Dentist (Orthodontics and Dentofacial Orthopedics)
1200 MASTER ST, SUITE1
CORBIN, KY 40701
Whitley County (606) 523-1961
SIDNEY HAIL DC
Chiropractor
1200 MASTER ST
CORBIN, KY 40701
Whitley County (859) 374-1479
SHANNON PHILPOT TCM
Case Management
1200 MASTER ST
CORBIN, KY 40701
Whitley County (606) 280-4000
KAYLA HENDRICKSON APRN
Nurse Practitioner (Family)
1200 MASTER ST
CORBIN, KY 40701
Whitley County (606) 280-4000
TERESA MESSER APRN
Nurse Practitioner (Primary Care)
1200 MASTER ST
CORBIN, KY 40701
Whitley County (606) 280-4000
JAMES RUSSELL GREER D.M.D., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
1200 MASTER ST, SUITE 1
CORBIN, KY 40701
Whitley County (606) 253-1961
SHANNON MARIE BRIAR PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1200 MASTER ST
CORBIN, KY 40701
Whitley County (606) 280-4000

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 Stacey Clark's NPI number?

The NPI number for Stacey Clark is 1528949963. It was assigned to this individual provider in the NPPES registry on September 11, 2025.

Where is Stacey Clark located?

Stacey Clark practices at 1200 Master St, Corbin, KY 40701. The listed phone number is (606) 280-4000.

What is Stacey 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 Stacey Clark was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.