MR. RALPH M CLARK CASAC
NPI 1629491071
Counselor - Addiction (Substance Use Disorder) in Mineola, NY

Active since January 21, 2014
110 MAIN ST, MINEOLA, NY 11501(516) 747-5644(516) 747-2556 Get Directions Write a Review

NPPES record last updated: January 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ralph M Clark Casac NPPES

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

MR. RALPH M CLARK CASAC (NPI 1629491071) is an individual addiction (substance use disorder) provider in Mineola, New York, licensed in New York (3827) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1629491071
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. RALPH M CLARKCredential: CASAC
Location Address110 MAIN STMineola, NY 11501-4000
Mailing Address110 Main StMineola, NY 11501-4000 · (516) 747-5644 · Fax (516) 747-2556
Fax(516) 747-2556
Sole ProprietorYes
Enumeration DateJanuary 21, 2014
NPI 1629491071 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 NY · 3827
110 MAIN ST, Mineola, NY 11501

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.

Registered Nurse
110 MAIN ST
MINEOLA, NY 11501
Registered Nurse (Addiction (Substance Use Disorder))
110 MAIN ST
MINEOLA, NY 11501
Social Worker (Clinical)
110 MAIN ST
MINEOLA, NY 11501
Nurse Practitioner (Psychiatric/Mental Health)
110 MAIN ST
MINEOLA, NY 11501
Registered Nurse
110 MAIN ST
MINEOLA, NY 11501
Counselor (Addiction (Substance Use Disorder))
110 MAIN ST
MINEOLA, NY 11501
Registered Nurse
110 MAIN ST
MINEOLA, NY 11501
Counselor (Addiction (Substance Use Disorder))
110 MAIN ST
MINEOLA, NY 11501

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 Ralph Clark's NPI number?

The NPI number for Ralph Clark is 1629491071. It was assigned to this individual provider in the NPPES registry on January 21, 2014.

Where is Ralph Clark located?

Ralph Clark practices at 110 Main St, Mineola, NY 11501. The listed phone number is (516) 747-5644.

What is Ralph 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 Ralph Clark was last updated on January 21, 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.