MR. ROBERT BICKNELL CLARK III CADC-1
NPI 1891368056
Counselor - Addiction (Substance Use Disorder) in Atlanta, GA

Q: What is Robert Clark's NPI number?

The NPI number for Robert Clark is 1891368056. It was assigned to this individual provider in the NPPES registry on July 23, 2021.

Q: What is Robert Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Robert Clark was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 23, 2021

4200 NORTHSIDE PKWY NW BLDG 7, ATLANTA, GA 30327(404) 793-6349 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Robert Bicknell Clark Iii Cadc-1 NPPES

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

MR. ROBERT BICKNELL CLARK III CADC-1 (NPI 1891368056) is an individual addiction (substance use disorder) provider in Atlanta, Georgia, licensed in Georgia (0689) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1891368056

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. ROBERT BICKNELL CLARK IIICredential: CADC-1

Location Address4200 NORTHSIDE PKWY NW BLDG 7Atlanta, GA 30327-3007

Mailing Address4200 Northside Pkwy Nw Bldg 7Atlanta, GA 30327-3007 · (404) 793-6349

Phone(404) 793-6349

Sole ProprietorYes

Enumeration DateJuly 23, 2021

NPPES CertifiedJuly 23, 2021

✔ NPI 1891368056 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 GA · 0689

4200 NORTHSIDE PKWY NW BLDG 7, Atlanta, GA 30327

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOSEPH BRYAN STICKNEY V LCSW

Social Worker (Clinical)

4200 NORTHSIDE PKWY NW BLDG 7
ATLANTA, GA 30327

Fulton County (404) 889-6770

TINA BLACK LCSW

Social Worker (Clinical)

4200 NORTHSIDE PKWY NW BLDG 7
ATLANTA, GA 30327

Fulton County (404) 442-2348

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 Robert Clark's NPI number?

The NPI number for Robert Clark is 1891368056. It was assigned to this individual provider in the NPPES registry on July 23, 2021.

Where is Robert Clark located?

Robert Clark practices at 4200 Northside Pkwy NW Bldg 7, Atlanta, GA 30327. The listed phone number is (404) 793-6349.

What is Robert 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 Robert Clark was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.