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DEANDRA L CLARK M.S., LCPC-C, LADC
NPI 1588713655
Social Worker in Portland, ME

Active since January 09, 2007
250 ANDERSON ST, PORTLAND, ME 04101(207) 775-5671(207) 871-1243 Get Directions Write a Review

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

About Deandra L Clark M.s., Lcpc-c, Ladc NPPES

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

DEANDRA L CLARK M.S., LCPC-C, LADC (NPI 1588713655) is an individual social worker in Portland, Maine, licensed in Maine (LS6308) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1588713655
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameDEANDRA L CLARKCredential: M.S., LCPC-C, LADC
Location Address250 ANDERSON STPortland, ME 04101-2545
Mailing AddressPo Box 8264Portland, ME 04104-8264 · (207) 939-1909 · Fax (207) 871-1243
Phone(207) 775-5671
Fax(207) 871-1243
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1588713655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in ME · LS6308
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LC3715 (ME)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License XL2975 (ME)
250 ANDERSON ST, Portland, ME 04101
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Other Providers at the Same Location NPPES 3

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

MICHAEL H FREEMAN LCSW
Counselor (Mental Health)
250 ANDERSON ST
PORTLAND, ME 04101
Cumberland County (207) 775-5671
JOANNE T ROY LCSW LADC
Counselor (Addiction (Substance Use Disorder))
250 ANDERSON ST
PORTLAND, ME 04101
Cumberland County (207) 775-5671
JOHN STEDMAN DO
Family Medicine
250 ANDERSON ST
PORTLAND, ME 04101
Cumberland County (207) 775-5671

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 Deandra Clark's NPI number?

The NPI number for Deandra Clark is 1588713655. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Deandra Clark located?

Deandra Clark practices at 250 Anderson St, Portland, ME 04101. The listed phone number is (207) 775-5671.

What is Deandra Clark's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Deandra 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.