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TERRY JAMES CLARK CSC-AD
NPI 1861688053
Counselor - Addiction (Substance Use Disorder) in Baltimore, MD

Active since September 20, 2007
111 PARK AVE, BALTIMORE, MD 21201(410) 837-5533(410) 837-2168 Get Directions Write a Review

NPPES record last updated: September 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Terry James Clark Csc-ad NPPES

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

TERRY JAMES CLARK CSC-AD (NPI 1861688053) is an individual addiction (substance use disorder) provider in Baltimore, Maryland, licensed in Maryland (SC0551) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1861688053
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTERRY JAMES CLARKCredential: CSC-AD
Location Address111 PARK AVEBaltimore, MD 21201-3402
Mailing Address111 Park AveBaltimore, MD 21201-3402 · (410) 837-5533 · Fax (410) 837-2168
Phone(410) 837-5533
Fax(410) 837-2168
Sole ProprietorNo
Enumeration DateSeptember 20, 2007
✔ NPI 1861688053 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 MD · SC0551
111 PARK AVE, Baltimore, MD 21201
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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.

TAMARA JEAN RILEY LPN
Licensed Practical Nurse
111 PARK AVE
BALTIMORE, MD 21201
Baltimore City (410) 837-5533
MS. CHRISTINA MW BEILENSON LCSWC
Social Worker (Clinical)
111 PARK AVE, HEALTH CARE FOR THE HOMELESS
BALTIMORE, MD 21201
Baltimore City (410) 837-5533
MRS. JEAN ELIZABETH PREVAS PA C
Physician Assistant
111 PARK AVE
BALTIMORE, MD 21201
Baltimore City (443) 703-1228
MS. LAUREN D SIEGEL LCSW-C
Social Worker (Clinical)
111 PARK AVE
BALTIMORE, MD 21201
Baltimore City (410) 837-5533
MS. PATRICIA ANN CARNEY RN
Registered Nurse (Community Health)
111 PARK AVE
BALTIMORE, MD 21201
Baltimore City (410) 837-5533
MS. DESIA PATRICIA HOLT CSC-AD
Counselor (Addiction (Substance Use Disorder))
111 PARK AVE
BALTIMORE, MD 21201
Baltimore City (410) 837-5533
HAZEL BURNETT
Registered Nurse (Ambulatory Care)
111 PARK AVE
BALTIMORE, MD 21201
Baltimore City (410) 837-5533
DR. TARA ANN RYAN M.D.
Internal Medicine
111 PARK AVE
BALTIMORE, MD 21201
Baltimore City (410) 837-5533

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 Terry Clark's NPI number?

The NPI number for Terry Clark is 1861688053. It was assigned to this individual provider in the NPPES registry on September 20, 2007.

Where is Terry Clark located?

Terry Clark practices at 111 Park Ave, Baltimore, MD 21201. The listed phone number is (410) 837-5533.

What is Terry 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 Terry Clark was last updated on September 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.