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BRODERICK PIERRE CLARK MASTER IN SOCIAL WOR
NPI 1659911402
Counselor - Addiction (Substance Use Disorder) in Colorado Springs, CO

Active since January 09, 2020
2565 AIRPORT RD, COLORADO SPRINGS, CO 80910(719) 632-3510(719) 632-3534 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broderick Pierre Clark Master In Social Wor NPPES

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

BRODERICK PIERRE CLARK MASTER IN SOCIAL WOR (NPI 1659911402) is an individual addiction (substance use disorder) provider in Colorado Springs, Colorado and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1659911402
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRODERICK PIERRE CLARKCredential: MASTER IN SOCIAL WOR
Location Address2565 AIRPORT RDColorado Springs, CO 80910-3119
Mailing Address2565 Airport RdColorado Springs, CO 80910-3119 · (719) 632-3510 · Fax (719) 632-3534
Phone(719) 632-3510
Fax(719) 632-3534
Sole ProprietorNo
Enumeration DateJanuary 9, 2020
✔ NPI 1659911402 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
2565 AIRPORT RD, Colorado Springs, CO 80910
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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.

ALFRED H ARMOUR
Counselor (Addiction (Substance Use Disorder))
2565 AIRPORT RD
COLORADO SPRINGS, CO 80910
El Paso County (719) 632-3510
CLARENCE KEON BUMPAS
Counselor (Professional)
2565 AIRPORT RD
COLORADO SPRINGS, CO 80910
El Paso County (719) 632-3570
EMILY ANNOLYN MARTIN RP
Counselor (Addiction (Substance Use Disorder))
2565 AIRPORT RD
COLORADO SPRINGS, CO 80910
El Paso County (507) 402-7739
TERESA JENNETTE STERCK CACI, RP
Counselor (Addiction (Substance Use Disorder))
2565 AIRPORT RD
COLORADO SPRINGS, CO 80910
El Paso County (719) 632-3510
KENNETH IRA STERCK CAC2
Counselor (Addiction (Substance Use Disorder))
2565 AIRPORT RD
COLORADO SPRINGS, CO 80910
El Paso County (719) 663-7021
BARBARA M VONDERHARR PHD, LPC, LAC
Counselor (Professional)
2565 AIRPORT RD
COLORADO SPGS, CO 80910
El Paso County (719) 632-3510
JAMES TASHJIAN
Counselor (Addiction (Substance Use Disorder))
2565 AIRPORT RD
COLORADO SPRINGS, CO 80910
El Paso County (719) 632-3510

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 Broderick Clark's NPI number?

The NPI number for Broderick Clark is 1659911402. It was assigned to this individual provider in the NPPES registry on January 9, 2020.

Where is Broderick Clark located?

Broderick Clark practices at 2565 Airport Rd, Colorado Springs, CO 80910. The listed phone number is (719) 632-3510.

What is Broderick 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 Broderick Clark was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.