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JENNIFER R. CLARK
NPI 1871807560
Counselor in Wentworh, NC

Active since August 05, 2010
405 NC HWY 65, WENTWORH, NC 27375(336) 342-8316 Get Directions Write a Review

NPPES record last updated: August 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer R. Clark NPPES

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

JENNIFER R. CLARK (NPI 1871807560) is an individual counselor in Wentworh, North Carolina, licensed in North Carolina (P006015) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1871807560
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJENNIFER R. CLARK
Location Address405 NC HWY 65Wentworh, NC 27375-0355
Mailing Address284 Executive Park, Suite 100Concord, NC 28025-1894 · (704) 939-1118
Phone(336) 342-8316
Sole ProprietorNo
Enumeration DateAugust 5, 2010
✔ NPI 1871807560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NC · P006015
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
405 NC HWY 65, Wentworh, NC 27375
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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.

MORGAN ELIZABETH WILSON
Counselor
405 NC HWY 65
WENTWORTH, NC 27375
Rockingham County (336) 342-8316
MISS ANNETTE ELIZABETH JONES LPC
Counselor (Professional)
405 NC HWY 65
WENTWORTH, NC 27375
Rockingham County (336) 342-8316
MRS. MARY MOOREFIELD CASHATT RN
Registered Nurse
405 NC HWY 65
WENTWORTH, NC 27375
Rockingham County (336) 342-8316
KATHERINE TOWNSEND
Counselor
405 NC HWY 65
WENTWORTH, NC 27375
Rockingham County (336) 342-8316
BRENDA M. WOODRING
Registered Nurse
405 NC HWY 65
WENTWORTH, NC 27375
Rockingham County (336) 342-8316
THERESA GARRETT
Registered Nurse
405 NC HWY 65
WENTWORTH, NC 27375
Rockingham County (336) 342-8316
STACEY ANNETTE LIGHT
Counselor
405 NC HWY 65
WENTWORTH, NC 27375
Rockingham County (336) 342-8316
MICHAEL THOMAS LOUIE P.L.C.S.W
Counselor
405 NC HWY 65
WENTWORTH, NC 27375
Rockingham County (336) 342-8316

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 Jennifer Clark's NPI number?

The NPI number for Jennifer Clark is 1871807560. It was assigned to this individual provider in the NPPES registry on August 5, 2010.

Where is Jennifer Clark located?

Jennifer Clark practices at 405 Nc Hwy 65, Wentworh, NC 27375. The listed phone number is (336) 342-8316.

What is Jennifer Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Clark was last updated on August 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.