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CELESTINE CLARK
NPI 1679131015
Counselor - Mental Health in Berwyn, IL

Active since May 31, 2019
6415 STANLEY AVE, BERWYN, IL 60402(708) 995-3893 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Celestine Clark NPPES

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

CELESTINE CLARK (NPI 1679131015) is an individual mental health provider in Berwyn, Illinois and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1679131015
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCELESTINE CLARK
Location Address6415 STANLEY AVEBerwyn, IL 60402-3130
Mailing Address8453 S Wabash AveChicago, IL 60619-5615 · (773) 315-8614
Phone(708) 995-3893
Sole ProprietorNo
Enumeration DateMay 31, 2019
✔ NPI 1679131015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6415 STANLEY AVE, Berwyn, IL 60402
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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.

AUDRA DUREN L.C.S.W.
Social Worker (Clinical)
6415 STANLEY AVE
BERWYN, IL 60402
Cook County (708) 995-3549
SUZANNE ELIZABETH WEY RSA
Case Manager/Care Coordinator
6415 STANLEY AVE
BERWYN, IL 60402
Cook County (708) 788-0511
SAMANTHA VOLK
Counselor
6415 STANLEY AVE
BERWYN, IL 60402
Cook County (708) 209-4181
KIMBERLY PATRICE KNOWLES
Social Worker
6415 STANLEY AVE
BERWYN, IL 60402
Cook County (708) 745-5277
BRIANA KUHL MSW
Social Worker
6415 STANLEY AVE
BERWYN, IL 60402
Cook County (708) 995-3518
ROXANNA SMITH MSW
Social Worker
6415 STANLEY AVE
BERWYN, IL 60402
Cook County (708) 995-3651
ILLAMI ROMERO MARTINEZ
Marriage & Family Therapist
6415 STANLEY AVE
BERWYN, IL 60402
Cook County (708) 995-3815
KRISTIN LEEDS LCPC
Counselor (Mental Health)
6415 STANLEY AVE
BERWYN, IL 60402
Cook County (708) 995-3827

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 Celestine Clark's NPI number?

The NPI number for Celestine Clark is 1679131015. It was assigned to this individual provider in the NPPES registry on May 31, 2019.

Where is Celestine Clark located?

Celestine Clark practices at 6415 Stanley Ave, Berwyn, IL 60402. The listed phone number is (708) 995-3893.

What is Celestine Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Celestine Clark was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.