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PHILLIP A CLARK
NPI 1568950764
Counselor in Oakland, CA

Active since April 24, 2018
925 BROCKHURST ST, OAKLAND, CA 94608(510) 923-9600 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phillip A Clark NPPES

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

PHILLIP A CLARK (NPI 1568950764) is an individual counselor in Oakland, California and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1568950764
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NamePHILLIP A CLARK
Location Address925 BROCKHURST STOakland, CA 94608-4222
Mailing Address925 Brockhurst StOakland, CA 94608-4222 · (510) 923-9600 · Fax (510) 923-9606
Phone(510) 923-9600
Sole ProprietorNo
Enumeration DateApril 24, 2018
✔ NPI 1568950764 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.
925 BROCKHURST ST, Oakland, CA 94608
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Other Identifiers 1

Medicaid1962601666CA

Other Providers at the Same Location NPPES 9

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

MS. STACEY NICOLE FRANCIS M.S.W.
Social Worker (Clinical)
925 BROCKHURST ST
OAKLAND, CA 94608
Alameda County (510) 923-9600
ST. MARY'S CENTER
Case Management
925 BROCKHURST ST
OAKLAND, CA 94608
Alameda County (510) 923-9600
MARY DE CRUS NOLAN L.C.S.W.
Social Worker (Clinical)
925 BROCKHURST ST
OAKLAND, CA 94608
Alameda County (510) 923-9600
MS. SUSAN ELIZABETH WERNER LCSW
Social Worker
925 BROCKHURST ST
OAKLAND, CA 94608
Alameda County (510) 923-9600
ANDREW CULLER
Social Worker
925 BROCKHURST ST
OAKLAND, CA 94608
Alameda County (510) 923-9600
KRISTINA WONG
Health Educator
925 BROCKHURST ST
OAKLAND, CA 94608
Alameda County (510) 923-9600
MARGARET STENGER M.S.W.
Social Worker (Clinical)
925 BROCKHURST ST
OAKLAND, CA 94608
Alameda County (510) 923-9600
SHALOM SPENCER LCSW
Social Worker (Clinical)
925 BROCKHURST ST
OAKLAND, CA 94608
Alameda County (510) 923-9600

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 Phillip Clark's NPI number?

The NPI number for Phillip Clark is 1568950764. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Phillip Clark located?

Phillip Clark practices at 925 Brockhurst St, Oakland, CA 94608. The listed phone number is (510) 923-9600.

What is Phillip 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 Phillip Clark was last updated on April 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.