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WALTER OTHA CLARK III CATC II
NPI 1811230980
Counselor - Addiction (Substance Use Disorder) in Riverside, CA

Active since March 27, 2013
3525 PRESLEY AVE, RIVERSIDE, CA 92507(951) 782-2400 Get Directions Write a Review

NPPES record last updated: August 22, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walter Otha Clark Iii Catc Ii NPPES

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

WALTER OTHA CLARK III CATC II (NPI 1811230980) is an individual addiction (substance use disorder) provider in Riverside, California, licensed in California (133051 II) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1811230980
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameWALTER OTHA CLARK IIICredential: CATC II
Location Address3525 PRESLEY AVERiverside, CA 92507-4453
Mailing Address3525 Presley AveRiverside, CA 92507-4453 · (951) 782-2400
Phone(951) 782-2400
Sole ProprietorNo
Enumeration DateMarch 27, 2013
Last NPPES UpdateAugust 22, 2013
✔ NPI 1811230980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 133051 II
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 3051-I (CA)
3525 PRESLEY AVE, Riverside, CA 92507
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Other Identifiers 1

Other133051 IICA · Caade

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.

STACEY BARNETT
Case Manager/Care Coordinator
3525 PRESLEY AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-1813
STEVE LUNA
Case Manager/Care Coordinator
3525 PRESLEY AVE
RIVERSIDE, CA 92507
Riverside County (951) 782-5005
ME'LISSA A HOGLE CADC II
Counselor (Addiction (Substance Use Disorder))
3525 PRESLEY AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-6997
MRS. KRISTEN DON'NET DUFFY
Peer Specialist
3525 PRESLEY AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-2499
KELLY STEPHANIE PEREZ
Counselor (Addiction (Substance Use Disorder))
3525 PRESLEY AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-0971
SARAH STAGER
Counselor (Addiction (Substance Use Disorder))
3525 PRESLEY AVE
RIVERSIDE, CA 92507
Riverside County (051) 955-6997
MS. MARIE THERESE FONSECA CADACI
Counselor (Addiction (Substance Use Disorder))
3525 PRESLEY AVE
RIVERSIDE, CA 92507
Riverside County (951) 486-2651
ASHLEY DANIELLE DAVIDS
Case Manager/Care Coordinator
3525 PRESLEY AVE
RIVERSIDE, CA 92507
Riverside County (951) 955-7620

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 Walter Clark's NPI number?

The NPI number for Walter Clark is 1811230980. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Where is Walter Clark located?

Walter Clark practices at 3525 Presley Ave, Riverside, CA 92507. The listed phone number is (951) 782-2400.

What is Walter 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 Walter Clark was last updated on August 22, 2013. 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.